Edc Drug Stores

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

8678 Issued in NC

Legal business name

EDC DRUG STORES

Doing business as

Rite Aid Pharmacy 11536

Practice address

380 Western Boulevard
Jacksonville, NC 28546-6347

Phone

(910) 353-3424

NPI assigned

Sep 22, 2006

Last updated

Mar 25, 2015By 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 3

Other names 1

• RITE AID PHARMACY 11536 Doing business as

Locations (25 of 67)

Practitioners 41

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
• Ghada C Aoun

  • Pharmacist
  • Raleigh, NC
  • NPI 1588961536
  NPD (past)
• Matthew Belair

  • Pharmacist
  • Raleigh, NC
  • NPI 1730552530
  NPD (past)
• Charles Bennett, RPH

  • Pharmacist
  • Holly Springs, NC
  • NPI 1386936193
  NPD (past)
• Nancy Timmerman Blackwell, RPH

  • Pharmacist
  • Cary, NC
  • NPI 1972892099
  NPD (past)
• Sharon G Braswell, RPH

  • Pharmacist
  • Clayton, NC
  • NPI 1679691893
  NPD (past)
• Stephanie Ann Bryant Coats, PHARMD

  • Pharmacist
  • Goldsboro, NC
  • NPI 1043592348
  NPD (past)
• Kevin Cross, PHARM.D.

  • Pharmacist
  • Mount Olive, NC
  • NPI 1770881393
  NPD (past)
• Cordelia O Emebo

  • Pharmacist
  • Clayton, NC
  • NPI 1245733971
  NPD (past)
• Joan Grant-Chin, PHARM D

  • Pharmacist
  • Goldsboro, NC
  • NPI 1285926147
  NPD (past)
• Jessica Hackworth

  • Pharmacist
  • Clayton, NC
  • NPI 1427480805
  NPD (past)
• Corey Alan Henderson, PHARM.D

  • Pharmacist
  • Raleigh, NC
  • NPI 1548633092
  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": "1427241600000",
    "number": "1992804116",
    "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": "380 WESTERN BOULEVARD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466347",
            "telephone_number": "910-353-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDC DRUG STORES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2015-03-25",
        "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": "NC",
            "license": "8678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0675553",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "7702459",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3418921",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 11536",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jillian Eberhard
• Alexis Eccleston, DO
• Daysia Eccleston
• Ruthetta Whitfield Echols, PA
• Edc Drug Stores (Rite Aid Pharmacy 11535)
• Edward Covert Jr DDS Family & Cosmetic Dentistry (Family Comprehensive & Cosmetic Dentistry)
• Corah Edwards-Seale, FNP-C
• Pamela Autry Edwards, PMHNP-BC
• Timothy Freeman Edwards, M.D.
• Joanne Ehret

• Community/Retail Pharmacy in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.