ECKERD CORPORATION (NPI# 1588763791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588763791 |
| Entity Type | Organization |
| Organization Name | ECKERD CORPORATION |
| Other Organization Name | RITE AID PHARMACY 11904 |
| Practice Address |
3401 Broad Street Chattanooga TN 37409-1026 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 4232675088 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-08-03 |
| 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 |
0000001527 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 4420369 | 01 | |
| TN | 4420369 | 05 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 11904 | 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 |
3401 BROAD STREET |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37409-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033585575 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 3801 Tennessee Avenue, Chattanooga, TN 37409 | 2015-08-19 |
| 1902296064 | Kelly Hawkins | Pharmacist | 3801 Tennessee Ave, Chattanooga, TN 37409 | 2015-01-28 |
| 1780683136 | David Q Anderson | Podiatrist | 3742 Tennessee Ave Ste 108, Chattanooga, TN 37409 | 2005-07-19 |
| 1811413024 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3401 Broad St, Chattanooga, TN 37409 | 2017-08-18 |
| 1235188491 | Kimberly Lynn Cook | Social Worker | 1101 W 40th St, Chattanooga, TN 37409 | 2006-05-08 |
| 1619965258 | Shahid Iqbal | Family Medicine | 3812 Tennessee Ave, Chattanooga, TN 37409 | 2005-10-07 |
| 1134435688 | Robert Louis Worley | Pharmacist | 3401 Broad St, Chattanooga, TN 37409-1026 | 2010-08-22 |
| 1457637415 | Gary Dean Hakes | Pharmacist | 3401 Broad St, Chattanooga, TN 37409-1026 | 2011-10-22 |
| 1952692170 | Darwin Reid Cole | Pharmacist | 3401 Broad St, Chattanooga, TN 37409-1026 | 2011-04-21 |
| 1578578597 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3550 Broad St, Chattanooga, TN 37409-1027 | 2006-07-29 |
| Find all providers in zip 37409 | ||||
| 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 |
|---|---|---|---|---|
| 1811522485 | On Site Rx Inc | Pharmacy | 3074 Hickory Valley Rd Bldg 229, Chattanooga, TN 37421-1273 | 2020-03-04 |
| 1073170718 | A Pharmacy LLC | Pharmacy | 4767 Hwy 58, Suite 101, Chattanooga, TN 37416 | 2019-05-28 |
| 1982952917 | Carestar Pharmacy | Pharmacy | 6106 Shallowford Rd Ste 108, Chattanooga, TN 37421-2280 | 2012-08-23 |
| 1548584634 | Eastside Pharmacy Inc | Pharmacy | 6857 Lee Hwy, Chattanooga, TN 37421-6406 | 2010-03-18 |
| 1538342076 | Ross Enterprise Inc | Pharmacy | 2001 E Third St Suite C, Chattanooga, TN 37404-2610 | 2007-12-06 |
| 1417095407 | Custom Compounding Pharmacy LLC | Pharmacy | 3816 Ringgold Rd, Chattanooga, TN 37412-1640 | 2007-02-02 |
| 1699831966 | Deems S Riddle IIi | Pharmacy | 4335 Ringgold Rd, Chattanooga, TN 37412-2740 | 2006-12-29 |
| 1952496804 | Pulmonaire Service Pharmacy, Inc. | Pharmacy | 821 Mccallie Ave, Chattanooga, TN 37403-2613 | 2006-10-04 |
| 1215030911 | Tennessee Cvs Pharmacy LLC | Pharmacy | 5501 Brainerd Rd, Chattanooga, TN 37411-5309 | 2006-09-07 |
| 1306949003 | Tennessee Cvs Pharmacy LLC | Pharmacy | 5011 State St # A, Chattanooga, TN 37407-3519 | 2006-09-07 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37409 |
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.