Active NPI
Thrifty Drug Stores Inc
Doing business as Thrifty White Pharmacy #775
- Community/Retail Pharmacy
- Westbrook, MN
National Provider Identifier
1821224668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 263380
- Legal business name
- THRIFTY DRUG STORES INC
- Doing business as
- Thrifty White Pharmacy #775
- Practice address
- 601 1St Ave
Westbrook, MN 56183-9500 - Phone
- (507) 274-6114
- Fax
- (507) 274-5688
- NPI assigned
- Jun 8, 2009
- Last updated
- Oct 29, 2024
- 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
- Timothy Weippert
- Title
- Chief Operating Officer
- Phone
- (763) 585-3507
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 263380 | MN | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
601 1St Ave
Westbrook, MN 56183-9500
Mailing address
6701 Evenstad Dr N Ste 100
Maple Grove, MN 55369-6013
Phone (763) 513-4300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2120529 | Other | PK | |
| 174163000 | Medicaid | MN |
Other names 1
- Thrifty White Pharmacy #775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041104000521 | MN | Part B Supplier - Mass Immunization (Roster Biller Only) | 0941269047 |
This NPI is an additional NPI on the enrollment Practice locations: Sandstone, MN; Rochester, MN; Red Lake Falls, MN; Plymouth, MN; Mankato, MN; Pierz, MN; Olivia, MN; Morris, MN… |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730160000000",
"number": "1821224668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 EVENSTAD DR N STE 100",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553696013",
"telephone_number": "763-513-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 1ST AVE",
"city": "WESTBROOK",
"state": "MN",
"postal_code": "561839500",
"telephone_number": "507-274-6114",
"fax_number": "507-274-5688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIFTY DRUG STORES INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-08",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A",
"authorized_official_last_name": "WEIPPERT",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "763-585-3507"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MN",
"license": "263380",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2120529",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174163000",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Thrifty White Pharmacy #775",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westbrook, MN
- Sanford Health Network (Sanford Clinic Westbrook)
- Sanford Health Network (Sanford Westbrook Medical Center)
- Sanford Health Network (Sanford Westbrook Medical Center)
- Strive Counseling LLC (Strive Counseling)
- The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Westbrook)
- Westbrook-Walnut Grove
- You Beginning
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.