MEDICARE: THRIFTY PAYLESS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy	PHY42818	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0599689	OTHER		OTHER ID NUMBER

General Provider Information

NPI Number	:	1003925462
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIFTY PAYLESS INC

Provider Business Mailing Address
First Line	:	200 NEWBERRY COMMONS
Second Line	:
City	:	ETTERS
State	:	PA
Zip	:	17319-9363
Country	:	US
Telephone Number	:	717-761-2633
Fax Number	:	717-975-8659

Provider Business Practice Location Address
First Line	:	2555 MAIN STREET
Second Line	:	OAKLEY TOWN CENTER
City	:	OAKLEY
State	:	CA
Zip	:	94561-1853
Country	:	US
Telephone Number	:	925-625-7440
Fax Number	:

Authorized Official
Title or Position	:	MANAGER ONLINE ADJUDICATION
Name	:	JENNIFER ZOREK
Credential	:
Telephone Number	:	717-975-5937

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	10/18/2011

Similar Medicare Providers

1932146693 — LUCKY STORES II LLC
Practice Location Address:

2545 MAIN ST
OAKLEY, CA
94561-1853

Practice Phone: 925-625-7557
Practice Fax: 925-625-5902

1932411501 — PETER KWABENA ADADE
Practice Location Address:

2555 MAIN ST
OAKLEY, CA
94561-1853

Practice Phone: 925-625-7440
Practice Fax: 925-625-1303

1205143849 — MS. LAKSHMI DEEPA HANUMANTHU
Practice Location Address:

2555 MAIN ST
OAKLEY, CA
94561-1853

Practice Phone: 925-625-7440
Practice Fax:

1245185750 — MISS IMMACULA JULIUS PMHNP
Practice Location Address:

573 MARATHON DR
OAKLEY, CA
94561-1065

Practice Phone: 203-410-1466
Practice Fax:

1699657650 — MAUREEN EZEIGWE, A NURSING CORPORATION
Practice Location Address:

781 WESTMOOR CIR
OAKLEY, CA
94561-5091

Practice Phone: 315-547-0502
Practice Fax:

1114902285 — YUE FENG
Practice Location Address:

2021 MAIN ST
OAKLEY, CA
94561-3302

Practice Phone: 925-776-8200
Practice Fax: 925-776-8260

Directions to “THRIFTY PAYLESS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.