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	201002943	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4831524	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1376644062
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	:	1624 LASKIN RD
Second Line	:	SUITE 750
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-7507
Country	:	US
Telephone Number	:	757-425-9474
Fax Number	:

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	09/19/2014

Similar Medicare Providers

1467634139 — SHIRLEY TURNER HARTMAN NP
Practice Location Address:

1624 LASKIN RD STE 736-102
VIRGINIA BEACH, VA
23451-7507

Practice Phone: 757-250-7573
Practice Fax: 757-208-9102

1932582095 — CHRISTA KLOECKER PHARM.D.
Practice Location Address:

1624 LASKIN RD
VIRGINIA BEACH, VA
23451-7507

Practice Phone: 757-425-9474
Practice Fax:

1225731342 — TARA YOSHIKAWA
Practice Location Address:

1624 LASKIN RD
VIRGINIA BEACH, VA
23451-7507

Practice Phone: 757-425-9474
Practice Fax: 757-425-9061

1073388807 — DREAM BUILDERS ABA VA LLC
Practice Location Address:

1624 LASKIN RD
VIRGINIA BEACH, VA
23451-7507

Practice Phone: 732-228-3532
Practice Fax:

1891908224 — DR. TAHER AMINIKHARRAZI DMD
Practice Location Address:

220 NEWPORT CENTER DR STE 3
NEWPORT BEACH, CA
92660-7507

Practice Phone: 949-759-9777
Practice Fax: 949-759-1871

1275747552 — MAHIN G FARZIN DDS
Practice Location Address:

220 NEWPORT CENTER DR STE 3
NEWPORT BEACH, CA
92660-7507

Practice Phone: 949-759-9777
Practice Fax: 949-759-1871

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.