ECKERD CORPORATION (NPI# 1417056615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417056615 |
| Entity Type | Organization |
| Organization Name | ECKERD CORPORATION |
| Other Organization Name | RITE AID PHARMACY 11394 |
| Practice Address |
5631 Creedmoor Road Raleigh NC 27612-6316 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 9197827330 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-08-08 |
| Authorized Official Name | JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION) |
| Authorized Official Telephone | 7179755937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
8729 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICAID DME | 7702616 | 01 |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3401166 | 01 | |
| NC | 0929347 | 05 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 11394 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083137590 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 4730 Capital Blvd, Raleigh, NC 27604-4480 | 2017-07-18 |
| 1134250954 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 21500 Catawba Avenue, Cornelius, NC 28031-6577 | 2007-03-07 |
| 1427113661 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 4501 News Road, Williamsburg, VA 23188 | 2006-12-27 |
| 1053492660 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 2810 Highway 55, Cary, NC 27519 | 2006-10-18 |
| 1063501302 | Eckerd Corporation | Pharmacy | 50 Service Ave, Warwick, RI 02886-1021 | 2006-10-12 |
| 1871681205 | Eckerd Corporation | Pharmacy | Turin Road, Rome, NY 13440 | 2006-10-11 |
| 1700974128 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 804 Route 82, Hopewell Junction, NY 12533-7359 | 2006-10-11 |
| 1144318577 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 2018 Glenwood Plaza, Oneida, NY 13421-2715 | 2006-10-11 |
| 1861580292 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | Skyway Shopping Center, Plattsburgh, NY 12901 | 2006-10-11 |
| 1316035744 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 1250 Upper Front Street, Binghamton, NY 13901 | 2006-10-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | ECKERD CORPORATION | 6501 Legacy Dr, Plano, TX 75024 |
| North Carolina Corporations | ECKERD CORPORATION | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 |
| New York State Corporations | ECKERD CORPORATION | 28 Liberty St., New York, Ny 10005 |
| Oklahoma Business Registrations | ECKERD CORPORATION | 4305 Lancaster Pike, Wilmington, DE *****-**** |
| Virginia Business Entities | ECKERD CORPORATION | Po Box 4689, Tax Dept C2w, Clearwater, Florida 34618 |
| Street Address |
5631 CREEDMOOR ROAD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-6316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073777 | Medly Raleigh Inc. | Pharmacy | 3029 Capital Blvd Ste 105, Raleigh, NC 27604-3377 | 2020-02-04 |
| 1184264897 | Springfield Pharmacy LLC | Pharmacy | 6325 Falls of Neuse Rd Ste 65, Raleigh, NC 27615-6884 | 2020-01-10 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1639646532 | Oakridge Rx LLC | Pharmacy | 2406 Blue Ridge Rd Ste 180, Raleigh, NC 27607-6692 | 2018-10-29 |
| 1093258295 | U.S. Pharmamed, LLC | Pharmacy | 3450 Tarheel Dr., Ste #101 Bldg. 4, Attn: Licensing, Raleigh, NC 27609 | 2016-11-21 |
| 1821465568 | North Carolina Cvs Pharmacy LLC | Pharmacy | 3001 Hillsborough St, Suite 100, Raleigh, NC 27607-5434 | 2015-08-28 |
| 1073909701 | Onerx, LLC | Pharmacy | 8490 Honeycutt Rd, Suite 103, Raleigh, NC 27615-2262 | 2015-04-09 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| 1346657129 | Morgan Street Pharmacy LLC | Pharmacy | 927 W Morgan St, Ste 100, Raleigh, NC 27603-1600 | 2014-07-14 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.