Thrifty Payless Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY42463 Issued in CA

Legal business name

THRIFTY PAYLESS INC

Doing business as

Rite Aid Pharmacy 05556

Practice address

16642 Soledad Canyon Rd
Sand Canyon Shopping Center
Canyon Country, CA 91387-3217

Phone

(661) 252-5388

NPI assigned

Aug 30, 2006

Last updated

Sep 10, 2014By 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 05556 Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

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
• Mina Wadie Ishak Girgis, PHARM D

  • Pharmacist
  • Canyon Country, CA
  • NPI 1841823119
  NPD (past)
• Melissa Wong

  • Pharmacist
  • Canyon Country, CA
  • NPI 1063814697
  NPD (past)
• Wafik Bichay, RPH

  • Pharmacist
  • Frisco, TX
  • NPI 1659659902
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1952410342",
    "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": "16642 SOLEDAD CANYON RD",
            "address_2": "SAND CANYON SHOPPING CENTER",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913873217",
            "telephone_number": "661-252-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFTY PAYLESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-09-10",
        "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": "PHY42463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0563797",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "PHA424630",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA424630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rite Aid Pharmacy 05556",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Noralda Quitain Tan, MSN FNP-C
• May Yee Tang, M.D.
• Meg Taylor, LCSW
• Nuttachai Thanaethanapong
• Three Branches Developmental Services LLC
• Tiano Physical Therapy and Wellness, Inc.
• Daniel Glenn Tiano, DPT
• Top Function
• Lisa Yvonne Treharne, RPH
• Kristen Elizabeth Tritt, LCSW

• Community/Retail Pharmacy in Canyon Country, CA
• Providers in Canyon Country, 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 Sep 10, 2014; 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.