MEDICARE: ECKERD CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy	PP412944L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	3944584	OTHER	OTHER ID NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124128574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ECKERD CORPORATION

Provider Business Mailing Address
First Line	:	200 NEWBERRY COMMONS
Second Line	:
City	:	ETTERS
State	:	PA
Zip	:	17319-9363
Country	:	US
Telephone Number	:	717-761-2633
Fax Number	:	717-975-8659

Provider Business Practice Location Address
First Line	:	228 MAIN ST
Second Line	:
City	:	STROUDSBURG
State	:	PA
Zip	:	18360-2502
Country	:	US
Telephone Number	:	570-424-9096
Fax Number	:

Authorized Official
Title or Position	:	MANAGER ONLINE ADJUDICATION
Name	:	JENNIFER ZOREK
Credential	:
Telephone Number	:	717-975-5937

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	01/23/2018

Similar Medicare Providers

1285630996 — DR. ANTHONY S DIECIDUE O.D.
Practice Location Address:

208 MAIN ST
STROUDSBURG, PA
18360-2502

Practice Phone: 570-476-1114
Practice Fax: 570-476-9520

1962513937 — ANTHONY S. DIECIDUE, P.C.
Practice Location Address:

208 MAIN ST
STROUDSBURG, PA
18360-2502

Practice Phone: 570-476-1114
Practice Fax:

1578158176 — STEPHEN JOSEPH TRBUZA IV
Practice Location Address:

228 MAIN ST
STROUDSBURG, PA
18360-2502

Practice Phone: 570-424-9096
Practice Fax:

1972196491 — BLUE LOTUS COUNSELING & CONSULTING SERVICES
Practice Location Address:

919 MAIN ST FL 1
STROUDSBURG, PA
18360-1603

Practice Phone: 570-534-0324
Practice Fax: 570-203-2318

1669051868 — TARA JAMES LCSW
Practice Location Address:

919 MAIN ST FL 1
STROUDSBURG, PA
18360-1603

Practice Phone: 570-534-0324
Practice Fax:

1033084280 — LAINIE SMITH PA-C
Practice Location Address:

208 LIFELINE RD STE 202
STROUDSBURG, PA
18360-6473

Practice Phone: 272-212-2141
Practice Fax:

Directions to “ECKERD CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.