Eckerd Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

201001465 Issued in VA

Legal business name

ECKERD CORPORATION

Practice address

770 West 21St Street
Norfolk, VA 23517-1921

Phone

(757) 627-5588

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RITE AID PHARMACY 11281 Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Parulben K Bhatt

  • Pharmacist
  • Norfolk, VA
  • NPI 1952621757
  NPD (past)
• Titus Olatunde Kolawole, RPH

  • Pharmacist
  • Norfolk, VA
  • NPI 1356658041
  NPD (past)
• Tina Palmer, PHARM.D.

  • Pharmacist
  • Norfolk, VA
  • NPI 1073830972
  NPD (past)
• Matoakee Skinner Wellman, RPH

  • Pharmacist
  • Norfolk, VA
  • NPI 1518089069
  NPD (past)
• Michael Wessel, R.PH.

  • Pharmacist
  • Norfolk, VA
  • NPI 1598178857
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1598864720",
    "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": "770 WEST 21ST STREET",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171921",
            "telephone_number": "757-627-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECKERD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "201001465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008510717",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4830899",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 11281",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eastern Virginia Pediatric Dentistry
• Easy Way Medical Transportation Service
• Randy James Eberly, D. M. D.
• Jasen M Eberz, LCSW
• Eckerd Corporation
• Eckerd Corporation
• Eckerd Corporation
• Mark Ancel Guerrero Edang, M.D.
• Heidemarie Edeling, MB.CH.B
• Eden Counseling Center

• Community/Retail Pharmacy in Norfolk, VA
• Providers in Norfolk, 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.