Thrifty Payless Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY42560 Issued in CA

Legal business name

THRIFTY PAYLESS INC

Doing business as

Rite Aid Pharmacy 05999

Practice address

230 South Main Street
Angels Camp, CA 95222-0000

Phone

(209) 736-4623

NPI assigned

Aug 30, 2006

Last updated

Oct 19, 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 2

Other names 1

• RITE AID PHARMACY 05999 Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 7

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
• Gajan Tristan Mathivanan, PHARM.D

  • Pharmacist
  • Angels Camp, CA
  • NPI 1609485044
  NPD (past)
• Warda Nawaz, PHARMD, RPH

  • Pharmacist
  • Angels Camp, CA
  • NPI 1104454388
  NPD (past)
• Mechele Inez Roessler, VACCINATING TECH

  • Pharmacy Technician
  • Angels Camp, CA
  • NPI 1487345310
  NPD (past)
• Nancy Thai

  • Pharmacist
  • Angels Camp, CA
  • NPI 1932764370
  NPD (past)
• Natalie Tibio

  • Pharmacist
  • Angels Camp, CA
  • NPI 1922391838
  NPD (past)
• Dean Stanley Westphalen, R.PH.

  • Pharmacist
  • Angels Camp, CA
  • NPI 1144532482
  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": "1318982400000",
    "number": "1982713327",
    "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": "230 SOUTH MAIN STREET",
            "city": "ANGELS CAMP",
            "state": "CA",
            "postal_code": "952220000",
            "telephone_number": "209-736-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFTY PAYLESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-10-19",
        "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": "PHY42560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA425600",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0586620",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 05999",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew A. Stammerjohan, D.C.
• Cynthia Lynne Sudduth, M. S., CCC-SLP
• Team Rehab Physical Therapy Inc
• Nancy Thai
• Theresa M Locke Physical Therapy, Inc (Pinnacle Physical Therapy)
• Natalie Tibio
• Gina A Vanderhorst, RDH
• Megan Vargas, RDH
• Roger Wahlman, D.D.S.
• Richard Asher Weissman, M.S., L. AC., DIPL.A

• Community/Retail Pharmacy in Angels Camp, CA
• Providers in Angels Camp, 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 19, 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.