ECKERDS PHARMACY LLC (NPI# 1922577832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922577832 |
| Entity Type | Organization |
| Organization Name | ECKERDS PHARMACY LLC |
| Practice Address |
2902 59th St W Ste R Bradenton FL 34209-7021 |
| Practice Telephone | 9415387122 |
| Practice Fax Number | 9415387133 |
| Mailing Telephone | 9415387122 |
| Mailing Fax Number | 9415387133 |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |
| Authorized Official Name | MR. VIKRAM B RAO (PRESIDENT) |
| Authorized Official Telephone | 9415246545 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE | PH31757 | 01 |
| Other Name | Type Code |
|---|---|
| ECKERDS SPECIALTY PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578198560 | Eckerds Pharmacy LLC | Pharmacy | 2902 59th St W Ste R, Bradenton, FL 34209-7021 | 2020-03-10 |
| Street Address |
2902 59TH ST W STE R |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-7021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578626115 | Family Medical Care LLC | Family Medicine | 2902 59th St W Ste R, Bradenton, FL 34209-7021 | 2006-12-18 |
| 1578198560 | Eckerds Pharmacy LLC | Pharmacy | 2902 59th St W Ste R, Bradenton, FL 34209-7021 | 2020-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| 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 |
|---|---|---|---|---|
| 1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
| 1649811506 | Fenix Drug Store, LLC | Pharmacy | 527 13th St W, Bradenton, FL 34205 | 2019-10-02 |
| 1134789639 | Costco Wholesale Corporation | Pharmacy | 805 Lighthouse Dr., Bradenton, FL 34212 | 2019-06-17 |
| 1831657782 | Pnh LLC | Pharmacy | 4418 E State Road 64, Bradenton, FL 34208-9061 | 2019-03-11 |
| 1811468143 | Life Pharmacy Inc | Pharmacy | 4144 Lakewood Ranch Blvd, Bradenton, FL 34211 | 2018-12-16 |
| 1770069361 | America's Pharmacy LLC. | Pharmacy | 5612 14th St W, Bradenton, FL 34207 | 2018-07-17 |
| 1841537826 | Fort Myers Beach Pharmacy | Pharmacy | 1003 8th Ave W, Bradenton, FL 34205-7709 | 2013-01-10 |
| 1285945386 | Swastik Rx LLC | Pharmacy | 2110 Manatee Ave E, Bradenton, FL 34208-1660 | 2010-06-23 |
| 1861718892 | Sonee Pharmacy Services Inc | Pharmacy | 6229 14th St W, Bradenton, FL 34207-4611 | 2010-04-15 |
| 1134359805 | David M Williams Enterprises, LLC | Pharmacy | 1824 59th St W, Bradenton, FL 34209-4630 | 2009-07-16 |
| Find all providers in BRADENTON | ||||
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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.