Eckerd Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

201001605 Issued in VA

Legal business name

ECKERD CORPORATION

Doing business as

Rite Aid Pharmacy 11275

Practice address

840 South Military Highway
Virginia Beach, VA 23464-3627

Phone

(757) 424-2306

NPI assigned

Sep 26, 2006

Last updated

Oct 11, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer ZorekNPI 1205649464

Title

Manager Online Adjudication

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RITE AID PHARMACY 11275 Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer M Zorek

  • Pharmacy Technician
  • Etters, PA
  • NPI 1205649464
  Authorized official Same address or phone
• Elizabeth Eddy, PHARM. D.

  • Pharmacist
  • Virginia Beach, VA
  • NPI 1821406794
  NPD (past)
• Narayana Jackson

  • Pharmacy Technician
  • Virginia Beach, VA
  • NPI 1225731409
  NPD (past)
• Adam Lesinski

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Chesapeake, VA
  • NPI 1417365750
  NPD (past)
• James Thomas Morrow, RPH

  • Pharmacist
  • Virginia Beach, VA
  • NPI 1215245857
  NPD (past)
• Michael George Wilson, PHARMD

  • Pharmacist
  • Virginia Beach, VA
  • NPI 1386120426
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1093816787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEWBERRY COMMONS",
            "city": "ETTERS",
            "state": "PA",
            "postal_code": "173199363",
            "telephone_number": "717-761-2633",
            "fax_number": "717-975-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SOUTH MILITARY HIGHWAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643627",
            "telephone_number": "757-424-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECKERD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER ONLINE ADJUDICATION",
        "authorized_official_telephone_number": "717-975-5937"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "201001605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4831550",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008511217",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 11275",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peggy Ebinger, M.D.
• Jo Ann Eccher, DC
• Nadia Maria Echevarria Velez, MD
• Amy Michelle Echstenkamper, MSW, LCSW
• Eckerd Corporation (Rite Aid Pharmacy 11273)
• Eckerd Corporation (Rite Aid Pharmacy 11264)
• Eckerd Corporation (Rite Aid Pharmacy 11271)
• Eckerd Corporation (Rite Aid Pharmacy 11263)
• Eckerd Corporation (Rite Aid Pharmacy 11266)
• Eckerd Corporation (Rite Aid Pharmacy 11262)

• Community/Retail Pharmacy in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.