Active NPI
Thrifty Payless Inc
Doing business as Rite Aid Pharmacy 05518
- Community/Retail Pharmacy
- Long Beach, CA
National Provider Identifier
1982714655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY42248
- Legal business name
- THRIFTY PAYLESS INC
- Doing business as
- Rite Aid Pharmacy 05518
- Practice address
- 601 Pine Avenue
Long Beach, CA 90802-1331 - Phone
- (562) 435-2083
- NPI assigned
- Aug 30, 2006
- Last updated
- Oct 26, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | PHY42248 | CA | Primary |
Addresses
Primary practice location
601 Pine Avenue
Long Beach, CA 90802-1331
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA422480 | Other | CA | MEDICAID DME |
| 0515417 | Other | OTHER ID NUMBER | |
| PHA422480 | Medicaid | CA |
Other names 1
- Rite Aid Pharmacy 05518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110309000350 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7719979095 | This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Pharmacy Technician
- Etters, PA
- NPI 1205649464
-
- Pharmacist
- Long Beach, CA
- NPI 1649581489
-
- Pharmacy Technician
- Long Beach, CA
- NPI 1841987872
-
- Pharmacist
- Long Beach, CA
- NPI 1356662647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319587200000",
"number": "1982714655",
"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": "601 PINE AVENUE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908021331",
"telephone_number": "562-435-2083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIFTY PAYLESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2011-10-26",
"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": "PHY42248",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME",
"identifier": "PHA422480",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "0515417",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA422480",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rite Aid Pharmacy 05518",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Long Beach, CA
- Thrifty Payless Inc (Rite Aid Pharmacy 05523)
- Thrifty Payless Inc (Rite Aid Pharmacy 06219)
- Thrifty Payless Inc (Rite Aid Pharmacy 05521)
- Thrifty Payless Inc
- Thrifty Payless Inc (Rite Aid Pharmacy 05519)
- Thrive Health IV Clinic, P.C.
- Thrive Trans Youth Socal
- Laura Morgan Thron
- Through the Mind Psychological Services Inc.
- Prapapim Thummong
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.