Active NPI
Eckerd Corporation
Doing business as Rite Aid Pharmacy 11267
- Community/Retail Pharmacy
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 201001645
- Legal business name
- ECKERD CORPORATION
- Doing business as
- Rite Aid Pharmacy 11267
- Practice address
- 1373 N Great Neck Rd
Virginia Beach, VA 23454-2201 - Phone
- (757) 481-5001
- NPI assigned
- Sep 26, 2006
- Last updated
- Feb 27, 2020
- 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
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 201001645 | VA | Primary |
Addresses
Primary practice location
1373 N Great Neck Rd
Virginia Beach, VA 23454-2201
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4831601 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 008511322 | Medicaid | VA |
Other names 1
- RITE AID PHARMACY 11267
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| 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
National Provider DirectoryLocations
1373 N Great Neck Rd
Virginia Beach, VA 23454
Phone (757) 481-5001
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Pharmacy Technician
- Etters, PA
- NPI 1205649464
-
- Pharmacist
- Virginia Beach, VA
- NPI 1992025696
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Virginia Beach, VA
- NPI 1356649016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582761600000",
"number": "1811098502",
"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": "1373 N GREAT NECK RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234542201",
"telephone_number": "757-481-5001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ECKERD CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"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": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "VA",
"license": "201001645",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "4831601",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008511322",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RITE AID PHARMACY 11267",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "RITE AID PHARMACY 11267",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Virginia Beach, VA
- Eckerd Corporation (Rite Aid Pharmacy 11271)
- Eckerd Corporation (Rite Aid Pharmacy 11263)
- Eckerd Corporation (Rite Aid Pharmacy 11266)
- Eckerd Corporation (Rite Aid Pharmacy 11262)
- Eckerd Corporation (Rite Aid Pharmacy 11270)
- Eckerd Corporation (Rite Aid Pharmacy 11268)
- Stephanie Eckley
- Jennifer Lee Eda, ATC
- Wesley Eddins, OWNER
- Notae Arinola Eddo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.