Eckerd Corporation
Organization Active NPI Community/Retail Pharmacy · Virginia Beach, VA
NPI 1467553156 · NPPES record last updated Oct 11, 2011
Key facts
- NPI
- 1467553156
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 201002941 (VA)
- Legal business name
- ECKERD CORPORATION
- Practice address
- 4245 Holland Road
Virginia Beach, VA 23452-1904 - Phone
- (757) 474-2289
- NPI assigned
- Sep 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennifer Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
Practitioners 9
-
Meaghan McNeal Beasley, PHARMD
-
Jacqueline Gruber, PHARMD
-
Jessica Soles, PHARM D
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 | 201002941 | VA | Yes |
Addresses
Primary practice location
4245 Holland Road
Virginia Beach, VA 23452-1904
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4831500 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 008511128 | Medicaid | VA |
Other names
- RITE AID PHARMACY 11262
Other providers in Virginia Beach, VA
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- Eckerd Corporation
- Eckerd Corporation
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- Eckerd Corporation
- Stephanie Eckley
- Jennifer Lee Eda
All providers in Virginia Beach, 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.