RITE AID PHARMACY 11477
NPI 1578664355
Pharmacy - Community/Retail Pharmacy in Charlotte, NC

Active since September 26, 2006
4215 PROVIDENCE ROAD, CHARLOTTE, NC 28211(704) 366-3899 Get Directions Write a Review

NPPES record last updated: August 10, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rite Aid Pharmacy 11477 NPPES

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

RITE AID PHARMACY 11477 (NPI 1578664355) is a healthcare organization registered as a community/retail pharmacy in Charlotte, North Carolina and active in the NPI registry since September 2006. The organization lists Jennifer M Zorek, Manager Online Adjudication, as its authorized official.

NPPES Registry Identity

NPI1578664355
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameECKERD CORPORATION
Location Address4215 PROVIDENCE ROADCharlotte, NC 28211-4409
Mailing Address200 Newberry CommonsEtters, PA 17319-9363 · (717) 761-2633 · Fax (717) 975-8659
Organization SubpartNo
Authorized OfficialJennifer M ZorekManager Online Adjudication · (717) 975-5937
Enumeration DateSeptember 26, 2006
Last NPPES UpdateAugust 10, 2011
NPI 1578664355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in NC · 8603
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
4215 PROVIDENCE ROAD, Charlotte, NC 28211

Other Names 1

Doing Business AsRite Aid Pharmacy 11477

Other Identifiers 6

Other7702297NC · Medicaid Dme
Medicare NSC1195881833
Medicaid0608629NC
Medicare PINP00934465NC
Medicare PIN2801210ANC
Other3428186Ncpdp

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578664355, enumerated as an "organization" on September 26, 2006.

The provider is located at 4215 PROVIDENCE ROAD CHARLOTTE, NC 28211 and the phone number is (704) 366-3899.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.