Thrifty Payless Inc
Organization Active NPI Community/Retail Pharmacy · Ephrata, WA
NPI 1912016239 · NPPES record last updated Dec 1, 2011
Key facts
- NPI
- 1912016239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- CF00056300 (WA)
- Legal business name
- THRIFTY PAYLESS INC
- Practice address
- 250 Basin Street SW
Ephrata, WA 98823-1852 - Phone
- (509) 754-3513
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennifer Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
Other NPIs with the same Medicare PAC ID 4
Practitioners 6
-
David Ater Bol, PHARMD
-
Ken Kozlowski, RPH
-
Duc Van Nguyen, RPH
-
Melodie D Racicky, PHARMACIST TECHNICIA
-
Mashara Solita Siegel, CPHT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040831000323 | WA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7719979095 |
National Provider Directory
Locations
250 Basin St SW
Ephrata, WA 98823
Phone (509) 263-4860
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | CF00056300 | WA | Yes |
Addresses
Primary practice location
250 Basin Street SW
Ephrata, WA 98823-1852
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6021737 | Medicaid | WA | |
| 4926614 | Other | OTHER ID NUMBER |
Other names
- RITE AID PHARMACY 06347
Other providers in Ephrata, WA
- Christie Marie Stensland
- Steven J Stokes
- Jessica Mae Stredwick
- Apryl Sundberg
- Mariah Marie Taylor
- Gary Tracy
- Wal-Mart Stores, Inc
- Walia Adult Family Homecare LLC
- Walmart
- Walmart Inc.
All providers in Ephrata, WA · Community/Retail Pharmacy in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.