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	PHY 44131	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	0511394	OTHER		OTHER ID NUMBER

General Provider Information

NPI Number	:	1336258797
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	:	1605 SOUTH SAN JACINTO AVENUE
Second Line	:
City	:	SAN JACINTO
State	:	CA
Zip	:	92583-5181
Country	:	US
Telephone Number	:	951-654-4734
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	:	10/20/2011

Similar Medicare Providers

1679430995 — DR. ALBERT MACIAS JR. DDS
Practice Location Address:

1643 S SAN JACINTO AVE STE 100&101
SAN JACINTO, CA
92583-5181

Practice Phone: 951-654-7744
Practice Fax:

1750248241 — LAUREN JESSICA BARLOW DDS, MS
Practice Location Address:

1643 S SAN JACINTO AVE
SAN JACINTO, CA
92583-5181

Practice Phone: 951-654-7744
Practice Fax:

1033385455 — LEE AND NOSTI DENTAL CORPORATION
Practice Location Address:

1643 S SAN JACINTO AVE STE 100&101
SAN JACINTO, CA
92583-5181

Practice Phone: 951-654-7744
Practice Fax: 951-654-6823

1780991539 — MISS YEA-SHIN YEH PHARMACIST
Practice Location Address:

1605 S SAN JACINTO AVE
SAN JACINTO, CA
92583-5181

Practice Phone: 951-654-4734
Practice Fax:

1699069237 — DR. PAMELA HUNG PHARMD
Practice Location Address:

1605 S SAN JACINTO AVE
SAN JACINTO, CA
92583-5181

Practice Phone: 951-654-4734
Practice Fax:

1124314182 — RITE AID CORPORATION
Practice Location Address:

1605 S SAN JACINTO AVE
SAN JACINTO, CA
92583-5181

Practice Phone: 951-654-4734
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.