ECKERDS PHARMACY 102
NPI 1316243686
Pharmacy - Community/Retail Pharmacy in Palmetto, FL

Active since February 04, 2011CLIA 10D2247281 · Waiver
907 10TH ST E, PALMETTO, FL 34221(941) 404-4121(941) 404-4122 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 15, 2020, Oct 13, 2020, Dec 18, 2016 and 2 more (5 updates tracked since 2016).

About Eckerds Pharmacy 102 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ECKERDS PHARMACY 102 (NPI 1316243686) is a healthcare organization registered as a community/retail pharmacy in Palmetto, Florida and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through January 4, 2028 and lists Vikram Bachubhai Rao, President, as its authorized official.

NPPES Registry Identity

NPI1316243686
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameAADESH RX LLC
Location Address907 10TH ST EPalmetto, FL 34221-4131
Mailing Address907 10th St EPalmetto, FL 34221-4131 · (941) 404-4121 · Fax (941) 404-4122
Fax(941) 404-4122
Organization SubpartNo
Authorized OfficialVikram Bachubhai RaoPresident · (863) 774-3536
Enumeration DateFebruary 4, 2011
Last NPPES UpdateDecember 15, 20205 updates tracked since enumeration
NPPES CertifiedDecember 15, 2020
NPI 1316243686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in FL · PH25225
Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
907 10TH ST E, Palmetto, FL 34221

Other Names 1

Doing Business AsEckerds Pharmacy 102

Other Identifiers 2

Medicaid003307900FL
Other2128173Pk

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2247281

Aadesh Rx LLC Dba Eckerds Pharmacy #102 · Palmetto, FL
Active · expires Jan 4, 2028
CLIA Number10D2247281
Laboratory TypePharmacy
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorJagdishkumar Patel
Laboratory Phone(941) 404-4121
Laboratory LocationAadesh Rx LLC Dba Eckerds Pharmacy #102907 10th St East, Palmetto, FL 34221
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
58 services58 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
54 services54 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
907 10TH ST E
PALMETTO, FL 34221
Pharmacy (Long Term Care Pharmacy)
907 10TH ST E
PALMETTO, FL 34221

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316243686, enumerated as an "organization" on February 04, 2011.

The provider is located at 907 10TH ST E PALMETTO, FL 34221 and the phone number is (941) 404-4121.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.