THRIFTY WHITE PHARMACY #735 – Community/Retail Pharmacy, NPI 1417047341
Community/Retail Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for THRIFTY WHITE PHARMACY #735
6055, Nathan Lane North, Bass Creek Business Park, Plymouth, Hennepin County, Minnesota, 55442, United States
SUITE 200
PLYMOUTH, MN 554421674
Phone: (763) 585-3507
Fax: (763) 248-7632
Type: Mailing
111, West Vernon Avenue, Fergus Falls, Otter Tail County, Minnesota, 56537, United States
FERGUS FALLS, MN 565372741
Phone: (218) 736-5770
Fax: (218) 736-3587
Type: Location
6701 EVENSTAD DR N STE 100
MAPLE GROVE, MN 553696013
Phone: (763) 513-4300
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-02-29 (837 days ago).
Enrollment records
1
Earliest due date
2024-02-29
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100930089046 | O | Pharmacy | MN | 2024-02-29 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 197 | 196 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 172 | 172 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 172 | 172 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 101 | 101 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 68 | 68 | $0 |
Insurance plans in this area (ZIP 55442)
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