Thrifty Payless Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY42397 Issued in CA

Legal business name

THRIFTY PAYLESS INC

Practice address

170 San Mateo Road
Half Moon Bay Shopping Center
Half Moon Bay, CA 94019-1706

Phone

(650) 726-2511

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RITE AID PHARMACY 05885 Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ramin Goudarzi, PHARM.D., MBA

  • Pharmacist
  • Half Moon Bay, CA
  • NPI 1336451186
  NPD (past)
• Eleanor Lai

  • Pharmacist
  • Half Moon Bay, CA
  • NPI 1306251848
  NPD (past)
• Edgar G Martinez

  • Pharmacy Technician
  • Half Moon Bay, CA
  • NPI 1184325094
  NPD (past)
• Khoa Dang Pham, RPH

  • Pharmacist
  • Half Moon Bay, CA
  • NPI 1609556786
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1902915432",
    "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": "170 SAN MATEO ROAD",
            "address_2": "HALF MOON BAY SHOPPING CENTER",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191706",
            "telephone_number": "650-726-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFTY PAYLESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-10-18",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY42397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0520305",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA423970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 05885",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorie Ann Stevens, MFTI
• Sun Center for Well Being
• Tracy Ann Quan Takahashi, FNP
• Jamie L Tanguay, PTA
• Malinda Thompson, MFTI
• Lydia-Carlie Blain Tilus
• Diane Titzer-Schwarzl
• Morgan Michelle Tomberlin, DC
• Claire Toutant, MD
• Uyen Tran

• Community/Retail Pharmacy in Half Moon Bay, CA
• Providers in Half Moon Bay, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.