Eckerds RX 107 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ECKERDS RX 107 LLC

Practice address

710 N Brevard Ave
Arcadia, FL 34266-8778

Phone

(863) 485-4150

Fax

(863) 485-4151

NPI assigned

Nov 4, 2019

Organization subpart

No

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

Authorized official

Name

Vikram Rao

Title

President

Phone

(941) 538-7122

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• ECKERDS PHARMACY 107 Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: arcadia@myeckerds.com

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105110600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105110601",
            "state": "FL"
        }
    ],
    "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"
        }
    ]
}

• James Allen Donner, PSYD
• Drug-Free Desoto Coalition
• Tyler Dugas, DPT, PT
• Wade Durham, LCSW
• Robert Dutcher, PHARM D
• Elite Mobile Lab Services, LLC
• Charles W. Elwell III, DMD
• Lenora Juanita Enix, PSY.D.
• Erica Escamilla, APRN
• Kyle L Fairchild, ARNP

• Community/Retail Pharmacy in Arcadia, FL
• Providers in Arcadia, FL by specialty
• Community/Retail Pharmacy in Florida

• 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.