Thrift Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP413538L Issued in PA

Legal business name

THRIFT DRUG INC

Doing business as

Rite Aid Pharmacy 11056

Practice address

6822 Hamilton Boulevard
Allentown, PA 18106-9644

Phone

(610) 398-1351

NPI assigned

Sep 22, 2006

Last updated

Jun 29, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer ZorekNPI 1205649464

Title

Manager Online Adjudication

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• RITE AID PHARMACY 11056 Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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.

• Jennifer M Zorek

  • Pharmacy Technician
  • Etters, PA
  • NPI 1205649464
  Authorized official Same address or phone
• James P Fellin, RPH

  • Pharmacist
  • Allentown, PA
  • NPI 1881984623
  NPD (past)
• Tina Kistler, TINA KISTLER

  • Pharmacist
  • Allentown, PA
  • NPI 1336448141
  NPD (past)
• Elina Varghese

  • Pharmacist
  • Allentown, PA
  • NPI 1649683020
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1932208279",
    "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": "6822 HAMILTON BOULEVARD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069644",
            "telephone_number": "610-398-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFT DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-06-29",
        "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": "PA",
            "license": "PP413538L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "1007287461148",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3901534",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007287461148",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 11056",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Braxton Robert Thorn, LCSW
• Thrift Drug Inc (Rite Aid Pharmacy 11055)
• Thrift Drug Inc (Rite Aid Pharmacy 11053)
• Thrift Drug Inc (Rite Aid Pharmacy)
• Thrift Drug Inc (Rite Aid Pharmacy 11054)
• Thrive & Bloom Psychological Services
• Megan Kelly Tibaldi, PT, DPT
• Dawn Ticali, RDH
• Carissa Tice
• Karen Tiedeken, CRNP

• Community/Retail Pharmacy in Allentown, PA
• Providers in Allentown, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.