Provider Demographics
NPI:1679728075
Name:THRIFTY PAYLESS INC
Entity Type:Organization
Organization Name:THRIFTY PAYLESS INC
Other - Org Name:RITE AID PHARMACY 06544
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR MANAGER THIRD PARTY ENROLLMENTS
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZOREK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-975-5937
Mailing Address - Street 1:200 NEWBERRY COMMONS
Mailing Address - Street 2:
Mailing Address - City:ETTERS
Mailing Address - State:PA
Mailing Address - Zip Code:17319-9363
Mailing Address - Country:US
Mailing Address - Phone:717-761-2633
Mailing Address - Fax:717-975-8659
Practice Address - Street 1:23940 NORTH EAST STATE ROUTE 3
Practice Address - Street 2:
Practice Address - City:BELFAIR
Practice Address - State:WA
Practice Address - Zip Code:98528-9697
Practice Address - Country:US
Practice Address - Phone:360-275-8964
Practice Address - Fax:360-275-1203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-26
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9062662OtherMEDICAID DME
4933138OtherNCPDP
WA6032130Medicaid
0791491118Medicare NSC
G8807543Medicare PIN
4933138OtherNCPDP