Active NPI
Thrifty Payless Inc
Doing business as Rite Aid Pharmacy 05521
- Community/Retail Pharmacy
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY42224
- Legal business name
- THRIFTY PAYLESS INC
- Doing business as
- Rite Aid Pharmacy 05521
- Practice address
- 4402 Atlantic Avenue
Long Beach, CA 90807-2207 - Phone
- (562) 423-0036
- NPI assigned
- Aug 30, 2006
- Last updated
- Oct 26, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | PHY42224 | CA | Primary |
Addresses
Primary practice location
4402 Atlantic Avenue
Long Beach, CA 90807-2207
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0515102 | Other | OTHER ID NUMBER | |
| PHA422240 | Other | CA | MEDICAID DME |
| PHA422240 | Medicaid | CA |
Other names 1
- Rite Aid Pharmacy 05521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110309000350 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7719979095 | This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
4402 Atlantic Ave
Long Beach, CA 90807
Phone (562) 423-0036
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacy Technician
- Etters, PA
- NPI 1205649464
-
- Pharmacist
- Long Beach, CA
- NPI 1851619746
-
- Pharmacy Technician
- Long Beach, CA
- NPI 1346937216
-
- Pharmacist
- Long Beach, CA
- NPI 1972822880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319587200000",
"number": "1780793141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NEWBERRY COMMONS",
"city": "ETTERS",
"state": "PA",
"postal_code": "173199363",
"telephone_number": "717-761-2633",
"fax_number": "717-975-8659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4402 ATLANTIC AVENUE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908072207",
"telephone_number": "562-423-0036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIFTY PAYLESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2011-10-26",
"status": "A",
"authorized_official_last_name": "ZOREK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "MANAGER ONLINE ADJUDICATION",
"authorized_official_telephone_number": "717-975-5937"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY42224",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "0515102",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME",
"identifier": "PHA422240",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA422240",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rite Aid Pharmacy 05521",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Long Beach, CA
- Rebecca Swig Thorsen, M.S., CCC-SLP
- Thrifty Payless Inc (Rite Aid Pharmacy 06346)
- Thrifty Payless Inc (Rite Aid Pharmacy 05520)
- Thrifty Payless Inc (Rite Aid Pharmacy 05523)
- Thrifty Payless Inc (Rite Aid Pharmacy 06219)
- Thrifty Payless Inc
- Thrifty Payless Inc (Rite Aid Pharmacy 05519)
- Thrifty Payless Inc (Rite Aid Pharmacy 05518)
- Thrive Health IV Clinic, P.C.
- Thrive Trans Youth Socal
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.