Organization Active NPI

Eckerd Corporation

Doing business as Rite Aid Pharmacy 11268

  • Community/Retail Pharmacy
  • Virginia Beach, VA
National Provider Identifier
1982703120
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
201002944 Issued in VA
Legal business name
ECKERD CORPORATION
Doing business as
Rite Aid Pharmacy 11268
Practice address
1075 Independence Boulevard
Virginia Beach, VA 23455-5523
Phone
(757) 464-2565
NPI assigned
Sep 22, 2006
Last updated
Oct 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

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)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 201002944 VA Primary

Addresses

Primary practice location

1075 Independence Boulevard
Virginia Beach, VA 23455-5523

Mailing address

200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633

Other names 1

  • RITE AID PHARMACY 11268 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080125000213 VA Part B Supplier - Mass Immunization (Roster Biller Only) 4082699152 Practice locations: Virginia Beach, VA; Chesapeake, VA; Suffolk, VA; Poquoson, VA; Norfolk, VA; Lawrenceville, VA; Hampton, VA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations (25 of 626)

1999 Pulaski Hwy
#40
Bear, DE 19701
Phone (302) 832-9772

3004 S DuPont Hwy
Camden, DE 19934
Phone (302) 698-0221

3004 S DuPont Hwy
#11190
Camden, DE 19934
Phone (302) 698-3966

2713 Philadelphia Pike
Claymont, DE 19703
Phone (302) 795-9520

2713 Philadelphia Pike
#11177
Claymont, DE 19703
Phone (302) 798-9520

641 Naamans Rd
Claymont, DE 19703
Phone (302) 798-6866

641 Naamans Rd
#11178
Claymont, DE 19703
Phone (302) 798-6866

501 E Basin Rd
#11183
New Castle, DE 19720
Phone (301) 328-4173

25 Chestnut Hill Plz
#11182
Newark, DE 19713
Phone (302) 731-9335

399 New London Rd
Newark, DE 19711
Phone (302) 731-4400

399 New London Rd
#11179
Newark, DE 19711
Phone (302) 731-4400

4607 Stanton Ogletown Rd
Newark, DE 19713
Phone (302) 737-4440

4607 Stanton Ogletown Rd
#11181
Newark, DE 19713
Phone (302) 737-4440

66 E Glenwood Ave
#11195
Smyrna, DE 19977
Phone (302) 653-6649

3209 Kirkwood Hwy
#11188
Wilmington, DE 19808
Phone (302) 995-6124

4609 Kirkwood Hwy
Wilmington, DE 19808
Phone (302) 994-2591

4609 Kirkwood Hwy
#11186
Wilmington, DE 19808
Phone (302) 994-2591

4718 Limestone Rd
Wilmington, DE 19808
Phone (302) 995-2286

4718 Limestone Rd
#11187
Wilmington, DE 19808
Phone (302) 995-2286

1775 Mars Hill Rd NW
Acworth, GA 30101
Phone (770) 919-0882

3245 Cobb Pkwy NW
Acworth, GA 30101
Phone (678) 202-8310

142 S Main St
Alpharetta, GA 30009
Phone (770) 752-9011

4830 Highway 9 N
Alpharetta, GA 30004
Phone (706) 793-4281

4975 Windward Pkwy
Alpharetta, GA 30004
Phone (678) 366-0472

2480 Briarcliff Rd NE
Atlanta, GA 30329
Phone (404) 321-4250

Practitioners & affiliated clinicians

Practitioners 720

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.

View all 720

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": "1318291200000",
    "number": "1982703120",
    "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": "1075 INDEPENDENCE BOULEVARD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555523",
            "telephone_number": "757-464-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECKERD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-10-11",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "201002944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 11268",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.