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	PP415528L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3975717	OTHER	OTHER ID NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467551648
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	:	1334 WINDRIM AVENUE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19141-2725
Country	:	US
Telephone Number	:	215-455-6162
Fax Number	:

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

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	11/28/2011

Similar Medicare Providers

1891064119 — DR. RYAN RICHARD PELL PHARM.D.
Practice Location Address:

1334 WINDRIM AVE
PHILADELPHIA, PA
19141-2725

Practice Phone: 215-455-6162
Practice Fax: 215-455-6183

1952956344 — ABIEMWENSE IYAMU
Practice Location Address:

1334 WINDRIM AVE
PHILADELPHIA, PA
19141-2725

Practice Phone: 862-215-5133
Practice Fax:

1215574660 — DR. RICHIE CHAN PHARMD
Practice Location Address:

1334 WINDRIM AVE
PHILADELPHIA, PA
19141-2725

Practice Phone: 215-455-6162
Practice Fax:

1740891308 — DR. TESFAHUN MERGIA ANGASSO
Practice Location Address:

1334 WINDRIM AVE
PHILADELPHIA, PA
19141-2725

Practice Phone: 215-455-6162
Practice Fax:

1174831465 — TIFFANY M HAIRSTON-LINDSEY
Practice Location Address:

1334 WINDRIM AVE
PHILA, PA
19141-2725

Practice Phone: 215-455-6162
Practice Fax:

1982764213 — DR. MOSEH EMANUEL DUNN M.D.,
Practice Location Address:

2725 W GLENWOOD AVE
PHILADELPHIA, PA
19121-1840

Practice Phone: 215-200-3683
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.