Active NPI
Eckerd Corporation
Doing business as Rite Aid Pharmacy 10820
- Community/Retail Pharmacy
- Orchard Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 023990
- Legal business name
- ECKERD CORPORATION
- Doing business as
- Rite Aid Pharmacy 10820
- Practice address
- 4060 North Buffalo Street
Orchard Park, NY 14127-2444 - Phone
- (716) 662-4401
- NPI assigned
- Sep 22, 2006
- Last updated
- Sep 29, 2011
- 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 | 023990 | NY | Primary |
Addresses
Primary practice location
4060 North Buffalo Street
Orchard Park, NY 14127-2444
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3365764 | Other | OTHER ID NUMBER | |
| 00482733 | Medicaid | NY |
Other names 1
- RITE AID PHARMACY 10820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100814000109 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 4082699152 | This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
4060 N Buffalo St
Orchard Park, NY 14127
Phone (716) 662-4401
Practitioners & affiliated clinicians
Practitioners 5
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
-
- Student in an Organized Health Care Education/Training Program
- Orchard Park, NY
- NPI 1013603075
-
- Pharmacist
- Hamburg, NY
- NPI 1538821970
-
- Pharmacist
- Orchard Park, NY
- NPI 1104344092
-
- Pharmacist
- Orchard Park, NY
- NPI 1316613441
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": "1317254400000",
"number": "1942309208",
"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": "4060 NORTH BUFFALO STREET",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141272444",
"telephone_number": "716-662-4401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ECKERD CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2011-09-29",
"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": "NY",
"license": "023990",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "3365764",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00482733",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RITE AID PHARMACY 10820",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.