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ECKERD CORPORATION NPI 1134228372


NPI Information

NPI: 1134228372
Provider Name: ECKERD CORPORATION

Doing Business As: RITE AID PHARMACY 10402

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
104 12TH AVENUE
NEWARK, NJ
ZIP 07107
Phone: (973) 621-0580
Get Directions

ECKERD CORPORATION is a community/retail pharmacy pharmacy in Newark, NJ. The provider is 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. ECKERD CORPORATION NPI is 1134228372. The provider is registered as an organization entity type.
The provider Is Doing Business As Rite Aid Pharmacy 10402.

The provider's business location address is:

104 12TH AVENUE
NEWARK, NJ
ZIP 07107-004
Phone: (973) 621-0580

The provider's authorized official is Jennifer Zorek .
The authorized official title is Manager Online Adjudication and has the following contact phone number (717) 975-5937.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 8/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail Pharmacy28RS00582300NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18154601MEDICAIDNEW JERSEY
2P00927268MEDICARE PINNEW JERSEY
31195882285MEDICARE NSC
4172974MEDICARE PINNEW JERSEY
53141986OTHEROTHER ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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