Organization
EDC DRUG STORES INC
Active
Other names
RITE AID PHARMACY 11421
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (SR MANAGER THIRD PARTY ENROLLMENTS)
(717) 975-5937
Entity
Organization
Contact information
Practice address
1600 NORTH MAIN STREET, TARBORO, NC 27886-2522
(252) 824-7740
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
(717) 761-2633
(717) 975-8659
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8754
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0335455
—
NC
01
—
3402562
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
7702389
MEDICAID DME
NC
Enumeration date
09/22/2006
Last updated
08/23/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up