Thrifty Payless Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY42807 Issued in CA

Legal business name

THRIFTY PAYLESS INC

Doing business as

Rite Aid Pharmacy 05958

Practice address

1500 Northgate Mall
San Rafael, CA 94903-3671

Phone

(415) 492-0888

NPI assigned

Jul 25, 2006

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 2

Other names 1

• RITE AID PHARMACY 05958 Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 9

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
• Sharon Elaine Avdic, PHARM D

  • Pharmacist
  • San Rafael, CA
  • NPI 1043665391
  NPD (past)
• Tashi Gonpo

  • Pharmacist
  • San Rafael, CA
  • NPI 1558725168
  NPD (past)
• Richard Ye Chan Kang

  • Pharmacist
  • San Rafael, CA
  • NPI 1780197350
  NPD (past)
• Hank Aaron Raganit Labarcon, RPH

  • Pharmacist
  • San Rafael, CA
  • NPI 1366763328
  NPD (past)
• Christine VI Le

  • Pharmacist
  • San Rafael, CA
  • NPI 1033866918
  NPD (past)
• Elizabeth Susanna Pretorius

  • Pharmacist
  • San Rafael, CA
  • NPI 1013237197
  NPD (past)
• Wendie Silverman-Martin, RN

  • Registered Nurse
  • San Rafael, CA
  • NPI 1801477153
  NPD (past)
• Kimberly Sturdivant

  • Pharmacist
  • San Rafael, CA
  • NPI 1689376527
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1962424077",
    "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": "1500 NORTHGATE MALL",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033671",
            "telephone_number": "415-492-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFTY PAYLESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "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": "CA",
            "license": "PHY42807",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY42807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0518324",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA428070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 05958",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annette S Thorn, MD MPH
• Deirdre Thorne-Hadfield, W.H.N.P. M.S. R.N.
• Chris Thorson
• Alexander William Threlfall, MD
• Thrifty Payless Inc (Rite Aid Pharmacy 05957)
• Sophia Thurston
• Tom Thurston, M.F.T.
• Wayne Charles Thurston, PSY.D.
• Nels Marcus Thygeson, M.D.
• Keeby Tie

• Community/Retail Pharmacy in San Rafael, CA
• Providers in San Rafael, 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.