Eckerd Connects

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

ECKERD CONNECTS

Practice address

500 E Ku Su Mee Rd
Candor, NC 27229-9058

Phone

(910) 974-4183

Fax

(910) 974-7310

NPI assigned

Jul 28, 2022

Last updated

Jul 28, 2022By 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

Shatiqua Lewis

Title

RN

Phone

(910) 975-5896

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1285360545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E KU SU MEE RD",
            "city": "CANDOR",
            "state": "NC",
            "postal_code": "272299058",
            "telephone_number": "910-974-4183",
            "fax_number": "910-974-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E KU SU MEE RD",
            "city": "CANDOR",
            "state": "NC",
            "postal_code": "272299058",
            "telephone_number": "910-974-4183",
            "fax_number": "910-974-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECKERD CONNECTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SHATIQUA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "910-975-5896"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aldorah Senior Care LLC
• Before and After Behavioral Health
• Joseph D Bowden
• Betty B Bradley, MD
• Brutonville Concerned Citizens, Inc. (Anthony G. Copeland Adult Day Care Center)
• Eckerd Youth Alternatives Inc
• Lawrence Craig Elliott, P.A.-C
• FHPG, LLC
• Genesis Care Services
• Hannah's House Residential Home Care Facility

• Registered Nurse in Candor, NC
• Providers in Candor, NC by specialty
• Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.