Organization Active NPI

Eckerds RX 107 LLC

Doing business as Eckerds Pharmacy 107

  • Community/Retail Pharmacy
  • Arcadia, FL
National Provider Identifier
1730723685
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ECKERDS RX 107 LLC
Doing business as
Eckerds Pharmacy 107
Practice address
710 N Brevard Ave
Arcadia, FL 34266-8778
Phone
(863) 485-4150
Fax
(863) 485-4151
NPI assigned
Nov 4, 2019
Last updated
Oct 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vikram RaoNPI 1215188461
Title
President
Phone
(941) 538-7122

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

710 N Brevard Ave
Arcadia, FL 34266-8778

Mailing address

710 N Brevard Ave
Arcadia, FL 34266-8778
Phone (863) 485-4150

Other names 1

  • ECKERDS PHARMACY 107 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ARCADIA@MYECKERDS.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200515000704 FL Part B Supplier - Mass Immunization (Roster Biller Only) 1850728700 Practice locations: Arcadia, FL

National Provider Directory

National Provider Directory

Locations

710 N Brevard Ave
Arcadia, FL 34266
Phone (863) 485-4150

Interoperability endpoints

  • Direct secure messaging: arcadia@myeckerds.com

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1730723685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N BREVARD AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668778",
            "telephone_number": "863-485-4150",
            "fax_number": "863-485-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N BREVARD AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668778",
            "telephone_number": "863-485-4150",
            "fax_number": "863-485-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECKERDS RX 107 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "VIKRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-538-7122"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ARCADIA@MYECKERDS.COM",
            "affiliation": "N",
            "endpointDescription": "PHARMACY",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "710 N Brevard Ave",
            "city": "Arcadia",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342668778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ECKERDS PHARMACY 107",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.