THRIFTY DRUG STORES INC NPI 1790243046

NPI Information

  • NPI: 1790243046
  • Provider Name: THRIFTY DRUG STORES INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: THRIFTY WHITE PHARMACY #793
  • CLIA Number: 24D2168458
  • Address: 1460 MONTREAL ST
    HUTCHINSON, MN
    ZIP 55350
  • Phone: (320) 587-2509

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NPI Details

THRIFTY DRUG STORES INC is a community/retail pharmacy pharmacy in Hutchinson, MN. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. THRIFTY DRUG STORES INC NPI is 1790243046. The provider is registered as an organization entity type.
The provider Is Doing Business As Thrifty White Pharmacy #793.

The provider's business location address is:

1460 MONTREAL ST
HUTCHINSON, MN
ZIP 55350
Phone: (320) 587-2509
Fax: (320) 587-0283

The provider's authorized official is Dana Lee Berg .
The authorized official title is Director Ar & Billing and has the following contact phone number (763) 513-4301.

The CLIA number assigned to this NPI record is 24D2168458 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Adm sarscv2 30mcg trs-sucr 3 (HCPCS:0053A)
  • Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose (HCPCS:0011A)
  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose (HCPCS:0012A)

The enumeration date for this NPI number is 3/6/2019 and was last updated on 10/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacyYes
53336L0003XPharmacyLong Term Care PharmacyNo
63336M0002XPharmacyMail Order PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11790243046MEDICAIDMINNESOTA
22434330OTHERNCPDP
30311770084OTHERMEDICARE
4265834OTHERMINNESOTAMN BOP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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