Active NPI
Eckerd Corporation
Doing business as Rite Aid Pharmacy 10512
- Community/Retail Pharmacy
- Toms River, NJ
National Provider Identifier
1467551697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00543000
- Legal business name
- ECKERD CORPORATION
- Doing business as
- Rite Aid Pharmacy 10512
- Practice address
- 811 Fischer Boulevard
Toms River, NJ 08753-4605 - Phone
- (732) 929-3440
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28RS00543000 | NJ | Primary |
Addresses
Primary practice location
811 Fischer Boulevard
Toms River, NJ 08753-4605
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3138597 | Other | OTHER ID NUMBER | |
| 7219504 | Medicaid | NJ | |
| 7219512 | Other | NJ | MEDICAID DME |
Other names 1
- RITE AID PHARMACY 10512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100222000377 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 4082699152 |
This NPI is an additional NPI on the enrollment Practice locations: Pilesgrove, NJ; Port Monmouth, NJ; Sicklerville, NJ; Toms River, NJ; Vineland, NJ; Glassboro, NJ; Voorhees, NJ; Whiting, NJ… |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacy Technician
- Etters, PA
- NPI 1205649464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312243200000",
"number": "1467551697",
"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": "811 FISCHER BOULEVARD",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087534605",
"telephone_number": "732-929-3440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ECKERD CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2011-08-02",
"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": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00543000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "3138597",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7219504",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME",
"identifier": "7219512",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RITE AID PHARMACY 10512",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.