Active NPI
Eckerd Corporation
- Community/Retail Pharmacy
- Newark, DE
National Provider Identifier
1629177951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- A30000738
- Legal business name
- ECKERD CORPORATION
- Doing business as
- Rite Aid Pharmacy 11181
- Practice address
- 4607 Stanton Ogletown Road
Newark, DE 19713-2006 - Phone
- (302) 737-4440
- 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
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | A30000738 | DE | Primary |
Addresses
Primary practice location
4607 Stanton Ogletown Road
Newark, DE 19713-2006
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000774907 | Medicaid | DE | |
| 0800234 | Other | OTHER ID NUMBER |
Other names 1
- Rite Aid Pharmacy 11181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071226000305 | DE | Part B Supplier - Mass Immunization (Roster Biller Only) | 4082699152 |
11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bear, DE; Wilmington, DE; Smyrna, DE; Newark, DE; New Castle, DE; Claymont, DE; Camden, DE |
Other NPIs on the same Medicare enrollment 11
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
4607 Stanton Ogletown Rd
Newark, DE 19713
Phone (302) 737-4440
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Newark, DE
- NPI 1407145212
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": "1327363200000",
"number": "1629177951",
"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": "4607 STANTON OGLETOWN ROAD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132006",
"telephone_number": "302-737-4440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ECKERD CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2012-01-24",
"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": "DE",
"license": "A30000738",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000774907",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "0800234",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rite Aid Pharmacy 11181",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.