ECKERD CORPORATION (NPI# 1699874883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699874883 |
| Entity Type | Organization |
| Organization Name | ECKERD CORPORATION |
| Other Organization Name | RITE AID PHARMACY 11741 |
| Practice Address |
633 North Main Street Cedartown GA 30125-2359 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 7707485030 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-11-08 |
| 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 |
PHRE0008173 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1144904 | 01 | |
| GA | 00766873A | 05 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 11741 | 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 |
| Indiana Business Entities | ECKERD CORPORATION | 65011 Legacy Dr, Plano, TX 75024 |
| Connecticut Business Registrations | ECKERD CORPORATION | 30 Hunter Lane, Camp Hill, PA 17011 |
| Street Address |
633 NORTH MAIN STREET |
| City | CEDARTOWN |
| State | GA |
| Zip Code | 30125-2359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922244607 | Ryan Ray Beck | Psychologist | 243 E. Girard Avenue, Cedartown, GA 30125 | 2008-12-30 |
| 1619156981 | Pamela Diane Hearn | Family Medicine | 2370 Rockmart Hwy Ste 100, Cedartown, GA 30125 | 2007-11-02 |
| 1962571786 | David Gandy | Dentist | 109 East Ave, Cedartown, GA 30125 | 2006-11-07 |
| 1255444519 | Cedartown Radiology Group | Radiology | 424 North Main St, Cedartown, GA 30125 | 2006-08-17 |
| 1255822771 | Hannah Bell Helton | Nurse Practitioner | 2360 Rockmart Hwy, Cedartown, GA 30125 | 2018-05-21 |
| 1417168808 | Terri Lynn Willis | Dentist | 113 Plantation Ave, Suite A, Cedartown, GA 30125 | 2007-05-25 |
| 1427193812 | Benjamin Stratman Anderson Jr. | Family Medicine | 812 S Main St, Cedartown, GA 30125-0508 | 2007-02-21 |
| 1972760197 | Jerry Octave Weaver | Community Health Worker | 215 Fair Oaks Rd, Cedartown, GA 30125-2011 | 2008-05-16 |
| 1346302387 | Mary Scott Worthington | Case Manager/Care Coordinator | 340 Lakeview Dr, Cedartown, GA 30125-2019 | 2006-12-15 |
| 1639606049 | Kayla Benton | Family Medicine | 1025 N Main St, Cedartown, GA 30125-2036 | 2017-05-16 |
| Find all providers in zip 30125 | ||||
| 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 |
|---|---|---|---|---|
| 1821209644 | Brown's Pharmacy | Pharmacy | 546 N Main St, Cedartown, GA 30125-2302 | 2007-05-24 |
| 1255434007 | Georgia Cvs Pharmacy LLC | Pharmacy | 511 N Main St, Cedartown, GA 30125-2302 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1184225526 | Svdp Georgia Community Pharmacy LLC | Pharmacy | 2050 Chamblee Tucker Rd Ste C, Chamblee, GA 30341-3343 | 2020-11-03 |
| 1194325860 | Panola Pharmacy LLC | Pharmacy | 2348 Panola Rd Unit C, Lithonia, GA 30058-5406 | 2020-10-30 |
| 1659971539 | Bob and Jeff's Hometown Pharmacy of Thomasville, LLC | Pharmacy | 309 Smith Ave, Thomasville, GA 31792-5534 | 2020-10-29 |
| 1679171979 | Dfg LLC | Pharmacy | 638 Historic Hwy 441 Suite A, Demorest, GA 30530 | 2020-10-09 |
| 1033716915 | Au Medical Center, Inc. | Pharmacy | 818 Saint Sebastian Way Ste 402, Augusta, GA 30901-2654 | 2020-10-05 |
| 1043817208 | Mlk Pharmacy2.0 | Pharmacy | 2457 Mlk Jr Dr Sw Ste A, Atlanta, GA 30311-1712 | 2020-10-01 |
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1205446341 | Sunny Pharmacy | Pharmacy | 5364 Jonesboro Rd, Lake City, GA 30260-3557 | 2020-08-04 |
| 1841818044 | Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ECKERD CORPORATION.
| 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.