1. Home
  2. Directory
  3. Florida
  4. Lutz
  5. Pharmacy
  6. NPI Profile

ECKERDS RX 108 LLC
NPI 1336759505
Pharmacy - Community/Retail Pharmacy in Lutz, FL

Active since August 03, 2020CLIA 10D2248342 · Waiver
17510 N US HIGHWAY 41, LUTZ, FL 33549(813) 499-9266(813) 499-9277 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 25, 2025, Aug 3, 2020 (2 updates tracked since 2020).

About Eckerds Rx 108 Llc NPPES

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

ECKERDS RX 108 LLC (NPI 1336759505), doing business as Eckerds Pharmacy 108, is a healthcare organization registered as a community/retail pharmacy in Lutz, Florida and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through January 12, 2028 and lists Vikram Rao, President, as its authorized official.

NPPES Registry Identity

NPI1336759505
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameECKERDS RX 108 LLC
Location Address17510 N US HIGHWAY 41Lutz, FL 33549-4571
Mailing Address17510 N Us Highway 41 Ste 102Lutz, FL 33549-4571 · (813) 499-9266 · Fax (813) 499-9277
Phone(813) 499-9266
Fax(813) 499-9277
Organization SubpartNo
Authorized OfficialVikram RaoPresident · (941) 538-7122
Enumeration DateAugust 3, 2020
Last NPPES UpdateNovember 25, 20252 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1336759505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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 ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
17510 N US HIGHWAY 41, Lutz, FL 33549
Open in Google Maps ↗

Other Names 1

Doing Business AsEckerds Pharmacy 108

Other Identifiers 1

OtherPH32838FL · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.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 10D2248342

Eckerds Rx 108 LLC · Lutz, FL
Active · expires Jan 12, 2028
CLIA Number10D2248342
Laboratory TypePharmacy
Certificate Effective DateJanuary 13, 2026
Certificate Expiration DateJanuary 12, 2028
Laboratory DirectorKeval N. Patel
Laboratory Phone(813) 499-9266
Laboratory LocationEckerds Rx 108 LLC14614 Livingston Ave, Lutz, FL 33559
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. DEVAN PATEL
Pharmacist
17510 N US HIGHWAY 41
LUTZ, FL 33549
Hillsborough County (813) 767-3769
MIO EZURA
Pharmacist
17510 N US HIGHWAY 41
LUTZ, FL 33549
Hillsborough County (941) 921-6645
TITAN HEALTH PA
General Practice
17510 N US HIGHWAY 41
LUTZ, FL 33549
Hillsborough County (833) 787-8824

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eckerds Rx 108 LLC's NPI number?

The NPI number for Eckerds Rx 108 LLC is 1336759505. It was assigned to this organization in the NPPES registry on August 3, 2020. The provider is doing business as Eckerds Pharmacy 108.

Where is Eckerds Rx 108 LLC located?

Eckerds Rx 108 LLC is located at 17510 N Us Highway 41, Lutz, FL 33549. The listed phone number is (813) 499-9266.

What is Eckerds Rx 108 LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Eckerds Rx 108 LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2248342) is associated with this NPI, valid through January 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eckerds Rx 108 LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and Baylor Scott and White Health Plan and 25 other insurers list Eckerds Rx 108 LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eckerds Rx 108 LLC was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.