ECKERD CORPORATION


Address: 4110 Memorial Drive, Decatur, GA 30032-1803
Phone: 4042946504

ECKERD CORPORATION (NPI# 1073612255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073612255
Entity Type Organization
Organization Name ECKERD CORPORATION
Other Organization Name RITE AID PHARMACY 11690
Practice Address 4110 Memorial Drive
Decatur
GA 30032-1803
Mailing Address 200 Newberry Commons
Etters
PA 17319-9363
Practice Telephone 4042946504
Mailing Telephone 7177612633
Mailing Fax Number 7179758659
Enumeration Date 2006-09-22
Last Update Date 2011-11-04
Authorized Official Name JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
Authorized Official Telephone 7179755937
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PHRE007946 GA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER COMMERCIAL NUMBER 1142253 01
GA 00694372A 05

Other Provider/Organization Names

Other Name Type Code
RITE AID PHARMACY 11690 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1083137590 Eckerd Corporation Durable Medical Equipment & Medical Supplies 4730 Capital Blvd, Raleigh, NC 27604-4480 2017-07-18
1134250954 Eckerd Corporation Durable Medical Equipment & Medical Supplies 21500 Catawba Avenue, Cornelius, NC 28031-6577 2007-03-07
1427113661 Eckerd Corporation Durable Medical Equipment & Medical Supplies 4501 News Road, Williamsburg, VA 23188 2006-12-27
1053492660 Eckerd Corporation Durable Medical Equipment & Medical Supplies 2810 Highway 55, Cary, NC 27519 2006-10-18
1063501302 Eckerd Corporation Pharmacy 50 Service Ave, Warwick, RI 02886-1021 2006-10-12
1871681205 Eckerd Corporation Pharmacy Turin Road, Rome, NY 13440 2006-10-11
1700974128 Eckerd Corporation Durable Medical Equipment & Medical Supplies 804 Route 82, Hopewell Junction, NY 12533-7359 2006-10-11
1144318577 Eckerd Corporation Durable Medical Equipment & Medical Supplies 2018 Glenwood Plaza, Oneida, NY 13421-2715 2006-10-11
1861580292 Eckerd Corporation Durable Medical Equipment & Medical Supplies Skyway Shopping Center, Plattsburgh, NY 12901 2006-10-11
1316035744 Eckerd Corporation Durable Medical Equipment & Medical Supplies 1250 Upper Front Street, Binghamton, NY 13901 2006-10-11

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities ECKERD CORPORATION 6501 Legacy Dr, Plano, TX 75024
North Carolina Corporations ECKERD CORPORATION 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417
New York State Corporations ECKERD CORPORATION 28 Liberty St., New York, Ny 10005
Oklahoma Business Registrations ECKERD CORPORATION 4305 Lancaster Pike, Wilmington, DE *****-****
Virginia Business Entities ECKERD CORPORATION Po Box 4689, Tax Dept C2w, Clearwater, Florida 34618
Indiana Business Entities ECKERD CORPORATION 65011 Legacy Dr, Plano, TX 75024
Connecticut Business Registrations ECKERD CORPORATION 30 Hunter Lane, Camp Hill, PA 17011

Office Location

Street Address 4110 MEMORIAL DRIVE
City DECATUR
State GA
Zip Code 30032-1803

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861028078 Anchor Home Healthcare Services, Inc. Community/Behavioral Health 3717 Elkridge Drive, Decatur, GA 30032 2020-03-19
1578959201 Trusted Nurses Nursing Care 1959 Barberrie Ln, Decatur, GA 30032 2015-04-09
1225436751 God's Helper's Private Home Care, LLC In Home Supportive Care 1916 Willa Dr, Decatur, GA 30032 2014-12-16
1366878712 Teresa A Johnson Counselor 1585 Cobbs Creek Lane, Decatur, GA 30032 2013-09-17
1629213590 Curlen L Baird-scott Registered Nurse Child and Adolescent Stabilization Unit, 2591 Candler Road, Decatur, GA 30032 2008-12-08
1659527919 Louis Aaron Calderon Psychiatry & Neurology 3408 Covington Highway, Georgia Department of Juvenile Justice, Decatur, GA 30032 2008-08-18
1932387982 Turning Point Behavioral Health and Wellness Center Community/Behavioral Health 4292 Memorial Drive Suite C, Decatur, GA 30032 2008-02-01
1528190865 Jennifer Weeks Kaufman Speech-Language Pathologist 1441 Clifton Road Ne, Atlanta, GA 30032 2007-03-12
1093847147 Mary Sprague Speech-Language Pathologist 1441 Clifton Road North East, Atlanta, GA 30032 2007-03-12
1356479976 Julie Witten Speech-Language Pathologist 1441 Clifton Road, N.e., Atlanta, GA 30032 2007-03-02
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316565963 Allen Specialty Pharmacy, Inc Pharmacy 1816 S Fm 51 Ste 1600, Decatur, TX 76234-3665 2020-07-10
1801441860 Rite Care Pharmacy Pharmacy 1996 Candler Rd, Decatur, GA 30032-4225 2019-08-07
1912476466 Positive Impact Health Centers, Inc. Pharmacy 523 Church Street, Suite B, Decatur, GA 30030 2018-11-14
1730605734 Ganesha Rx Care Group 2, LLC Pharmacy 2801 N Decatur Rd Ste 130, Decatur, GA 30033-5949 2017-08-21
1255853784 Anchor Rx Pharmacy Pharmacy 2139 Lawrenceville Hwy, Decatur, GA 30033-4321 2017-07-17
1841532546 Priceville Pharmacy LLC Pharmacy 2941 Point Mallard Pkwy, Suite A, Decatur, AL 35603 2013-03-20
1508106121 Murks Village Market Inc Pharmacy 108b East Delaware Street, Decatur, MI 49045 2013-02-19
1902162548 Apothecary Sales Inc Pharmacy 3220 Highway 31 S Ste A2, Decatur, AL 35603-1731 2012-04-09
1760780233 Rite Aid Pharmacy 1526 6th Av. Se, Decatur, AL 35601-4561 2011-03-08
1285943829 Victory Pharmacy Pharmacy 2280 E William St, Decatur, IL 62521-1528 2010-09-30
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Competitor

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City DECATUR
Zip Code 30032

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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