ECKERD CORPORATION (NPI# 1306945589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306945589 |
| Entity Type | Organization |
| Organization Name | ECKERD CORPORATION |
| Other Organization Name | RITE AID PHARMACY 11699 |
| Practice Address |
645 Russell Road Lawrenceville GA 30043-3637 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 7706825512 |
| 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 |
| 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 |
7824 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER COMMERCIAL NUMBER | 1141100 | 01 | |
| GA | 00642815A | 05 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 11699 | Doing Business As Name - Organization |
| 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 |
| 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 |
| Street Address |
645 RUSSELL ROAD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-3637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235649716 | Lawrenceville Community Pharmacy, Inc | Pharmacy | 3157 Sugarloaf Pkwy Ste 103, Lawrenceville, GA 30045-9490 | 2017-10-10 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1912260555 | Neighbourhood Pharmacy LLC | Pharmacy | 150 Hurricane Shoals Rd Nw Ste G, Lawrenceville, GA 30046-4115 | 2012-06-19 |
| 1497011860 | Elle's Pharmacy | Pharmacy | 150 Hurricane Shoals Rd Nw, Suite G, Lawrenceville, GA 30046-4115 | 2012-04-10 |
| 1023389046 | Lawrenceville Discount Pharmacy LLC | Pharmacy | 905 Parkside Walk Ln Ste 108, Lawrenceville, GA 30043-7314 | 2012-01-23 |
| 1174852966 | Old Norcross Road Pharmacy LLC | Pharmacy | 558 Old Norcross Rd, Suite 201, Lawrenceville, GA 30046-4385 | 2009-12-08 |
| 1477637908 | New Jersey Cvs Pharmacy LLC | Pharmacy | 2721 Brunswick Pike, Lawrenceville, NJ 08648-4106 | 2006-10-24 |
| 1063504652 | New Jersey Cvs Pharmacy LLC | Pharmacy | 1900 Us Highway 1, Lawrenceville, NJ 08648-4604 | 2006-09-29 |
| 1336240159 | Eckerd Corporation | Pharmacy | 1097 Duluth Hwy, Lawrenceville, GA 30043-7310 | 2006-09-26 |
| 1114026382 | Eckerd Corporation | Pharmacy | 605 Highway 20 S, Lawrenceville, GA 30045-6333 | 2006-09-22 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on ECKERD CORPORATION.
| 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.