ECKERD CORPORATION (NPI# 1770683138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770683138 |
| Entity Type | Organization |
| Organization Name | ECKERD CORPORATION |
| Other Organization Name | RITE AID PHARMACY 11238 |
| Practice Address |
9100 Pocahontas Trail Providence Forge VA 23140 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 8049662151 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2011-10-10 |
| 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 |
201001172 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 008511870 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4831081 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 11238 | 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 |
9100 POCAHONTAS TRAIL |
| City | PROVIDENCE FORGE |
| State | VA |
| Zip Code | 23140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538329339 | Aravind Kumar Reddy Kasireddy | Pharmacist | 9100 Pocahontas Trail, Providence Forge, VA 23140 | 2008-06-15 |
| 1609399419 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9100 Pocahontas Trail, Providence Forge, VA 23140 | 2017-07-24 |
| 1326330085 | Jennifer Munn | Pharmacist | 9100 Pocahontas Trail, Providence Forge, VA 23140 | 2011-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740411925 | Srikanth Mahavadi | Podiatrist | 9050 Pocahontas Trail, Suite F, Providence Forge, VA 23140 | 2009-08-05 |
| 1538343207 | Wendy Dickerson | Social Worker | 9403 A Pocahantas Trail, Providence Forge, VA 23140 | 2007-12-18 |
| 1528287463 | Randall Stephen Rosemond | Dentist | 3521 N Courthouse Road, Providence Forge, VA 23140 | 2007-04-25 |
| 1295879963 | Kim R Mcfadden | Physician Assistant | 9010 Pocahontas Trail, Providence Forge, VA 23140 | 2007-02-16 |
| 1326189226 | Andrea Michelle Johnson | Social Worker | 9403 Pocohantas Trail, Providence Forge, VA 23140 | 2007-02-12 |
| 1104902477 | Kent Paul Radwani | Social Worker | 9403 Pocohontas Trail, Providence Forge, VA 23140 | 2006-10-30 |
| 1366587396 | Janice V. Atwell | Social Worker | 9403 Pocohantas Trail, Providence Forge, VA 23140 | 2007-02-20 |
| 1437292455 | Clarice U. Baugh | Registered Nurse | 9403 Pocohantas Trail, Providence Forge, VA 23140 | 2007-02-15 |
| 1750602389 | Srikanth Mahavadi, Dpm PC | Clinic/Center | 9050 Pocahontas Trail, Suite #f, Providence Forge, VA 23140-0357 | 2010-06-17 |
| 1467697367 | Crossgap Ministries Inc. | Voluntary or Charitable | 5326 Adkins Rd, Providence Forge, VA 23140-2425 | 2008-12-05 |
| Find all providers in zip 23140 | ||||
| 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 |
|---|---|---|---|---|
| 1730788381 | Maysons Pharmacy At Retreat Inc | Pharmacy | 110 N Robinson St Ste 101, Richmond, VA 23220-4459 | 2020-10-23 |
| 1275156572 | Herbert T Nguyen | Pharmacy | 5100 Harford Ln, Burke, VA 22015-1510 | 2020-05-20 |
| 1932720174 | Warrington Wellness and Compounding Pharmacy | Pharmacy | 805 Kent Pl Ste 104, Chesapeake, VA 23320-0768 | 2020-04-28 |
| 1467081273 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Hwy # 109b, Centreville, VA 20121-5829 | 2020-04-03 |
| 1174151716 | Vandorn Apothecary LLC | Pharmacy | 5724 Edsall Rd Alexandria Va 22304, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1528691946 | Pharmacy One LLC | Pharmacy | 14904 Jefferson Davis Hwy Ste 101, Woodbridge, VA 22191-3908 | 2020-02-13 |
| 1477193936 | Anderson & Payne Pharmacy Inc | Pharmacy | 16 Gosnell Xing Ste 101, Staunton, VA 24401-6344 | 2020-01-13 |
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1215578901 | Jtj Medical Supply, Inc. | Pharmacy | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2019-10-03 |
| 1659912889 | Aylin Unal | Pharmacy | 1409 Emmet St N, Charlottesville, VA 22903-4874 | 2019-09-29 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE FORGE |
| Zip Code | 23140 |
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.