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	PHY42859	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	0529909	OTHER	OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194731489
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	:	2230 OTAY LAKES ROAD
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91915-1000
Country	:	US
Telephone Number	:	619-656-6944
Fax Number	:

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	10/27/2011

Similar Medicare Providers

1508802109 — VONS COMPANIES INC
Practice Location Address:

2250 OTAY LAKES RD
CHULA VISTA, CA
91915-1000

Practice Phone: 619-656-3629
Practice Fax: 619-656-0875

1730251851 — MRS. NAZLI KERI D.D.S.
Practice Location Address:

2226 OTAY LAKES RD STE A
CHULA VISTA, CA
91915-1000

Practice Phone: 619-216-7336
Practice Fax: 619-216-2084

1063574390 — DR. KAMI HOSS D.D.S
Practice Location Address:

2226 OTAY LAKES RD , STE. B
CHULA VISTA, CA
91915-1000

Practice Phone: 619-216-7846
Practice Fax: 619-216-3676

1427358258 — ALAN FRANCIS LANGLOIS
Practice Location Address:

2250 OTAY LAKES RD
CHULA VISTA, CA
91915-1000

Practice Phone: 619-656-3629
Practice Fax: 619-656-0875

1942580923 — DR. VIVIEN LAO D.D.S.
Practice Location Address:

2226 OTAY LAKES RD STE AANDB
CHULA VISTA, CA
91915-1000

Practice Phone: 619-336-8478
Practice Fax:

1629478284 — EULA DOMINGUEZ PHARMD
Practice Location Address:

2230 OTAY LAKES RD
CHULA VISTA, CA
91915-1000

Practice Phone: 619-656-6944
Practice Fax:

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.