Eckerd Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00209900 Issued in NJ

Legal business name

ECKERD CORPORATION

Doing business as

Rite Aid Pharmacy 10490

Practice address

1889 South Lincoln Avenue
Vineland, NJ 08361-7826

Phone

(856) 696-0111

NPI assigned

Sep 22, 2006

Last updated

Aug 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer ZorekNPI 1205649464

Title

Manager Online Adjudication

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RITE AID PHARMACY 10490 Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 7

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.

• Jennifer M Zorek

  • Pharmacy Technician
  • Etters, PA
  • NPI 1205649464
  Authorized official Same address or phone
• Firth G Bowden IV, PHARMD

  • Pharmacist
  • Vineland, NJ
  • NPI 1396050258
  NPD (past)
• Ronald J D'Amico, R.PH.

  • Pharmacist
  • Vineland, NJ
  • NPI 1205140191
  NPD (past)
• Stefanie Emanuel, PHARM.D.

  • Pharmacist
  • Vineland, NJ
  • NPI 1376856740
  NPD (past)
• James Ianni

  • Pharmacist
  • Vineland, NJ
  • NPI 1073091823
  NPD (past)
• Lovitta Jiwanmall, PHARMD

  • Pharmacist
  • Vineland, NJ
  • NPI 1366936965
  NPD (past)
• Stephen Wilkins Jr.

  • Pharmacist
  • Vineland, NJ
  • NPI 1730566167
  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": "1312243200000",
    "number": "1912006123",
    "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": "1889 SOUTH LINCOLN AVENUE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617826",
            "telephone_number": "856-696-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECKERD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-08-02",
        "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": "NJ",
            "license": "28RS00209900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3102124",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4301803",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 10490",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eastern Sparrow Speech-Language Services LLC (Eastern Sparrow Speech and Language Services)
• Easy Access Transport, LLC
• Taylor Ann Ebling, PA-C
• Eckerd Corporation (Rite Aid Pharmacy 10487)
• Eckerd Corporation (Rite Aid Pharmacy 10488)
• Destiny Edwards
• Mary Wummi Egbeh
• Richard S Ehrlichman, M.D.
• Haley Elias
• Gina Elie

• Community/Retail Pharmacy in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.