Eckerd Corporation
Organization Active NPI Community/Retail Pharmacy · Smithfield, VA
NPI 1346349586 · NPPES record last updated Oct 11, 2011
Key facts
- NPI
- 1346349586
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 201001420 (VA)
- Legal business name
- ECKERD CORPORATION
- Practice address
- 1200 Benns Church Boulevard
Smithfield, VA 23430-6063 - Phone
- (757) 357-3254
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennifer Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080125000213 | VA | Part B Supplier - Mass Immunization (Roster Biller Only) | 4082699152 |
This NPI is an additional NPI on the enrollment Practice locations: Virginia Beach, VA; Chesapeake, VA; Suffolk, VA; Poquoson, VA; Norfolk, VA; Lawrenceville, VA; Hampton, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 201001420 | VA | Yes |
Addresses
Primary practice location
1200 Benns Church Boulevard
Smithfield, VA 23430-6063
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008511861 | Medicaid | VA | |
| 4831396 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names
- RITE AID PHARMACY 11258
Other providers in Smithfield, VA
- Drew McKenzie Dent
- Dr Barry Van Orman DDS PC
- Dr James C Dover & Associates
- Daniel Douglas Eastman
- Isis Keyona Eaton
- Alyssia Edwards
- Chelsea N Edwards
- Megan Elmore
- Empowerment Counseling Services LLC
- Encore Pilates and Physical Therapy
All providers in Smithfield, VA · Community/Retail Pharmacy in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.