ECKERDS PHARMACY 102 – Community/Retail Pharmacy, NPI 1316243686

ECKERDS PHARMACY 102 is a healthcare provider. based in Palmetto, Florida. specializing in Community/Retail Pharmacy. The organization holds a License No. PH25225 (FL). The NPI Number for ECKERDS PHARMACY 102 is 1316243686

Main info

Organization
Name
ECKERDS PHARMACY 102
NPI
1316243686
Phone
(941) 404-4121
Address
907 10TH ST E
Authorized Official
VIKRAM BACHUBHAI RAO PRESIDENT
Enumeration Date
4 February 2011
Last Update Date
15 December 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:15State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for ECKERDS PHARMACY 102

  • 907 10TH ST E

    PALMETTO, FL 342214131

    Phone: (941) 404-4121

    Fax: (941) 404-4122

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2026-05-31 (11 days ago).

Enrollment records

1

Earliest due date

2026-05-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20111209000262OPharmacyFL2026-05-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count1,040118$0
G0008Administration of influenza virus vaccine5555$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage5252$0
90480Admn sarscov2 vacc 1 dose5050$0
91322Sarscov2 vac 50 mcg/0.5ml im2929$0
View full utilization report →

Insurance plans in this area (ZIP 34221)

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Reviews

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Frequently asked questions

Can I verify ECKERDS PHARMACY 102 with an NPI only?
You can start verification with NPI 1316243686 for ECKERDS PHARMACY 102, then check state licensing separately.
Does the file indicate ECKERDS PHARMACY 102 is practicing under active NPI?
Directory data currently reports ECKERDS PHARMACY 102 as active.
What is ECKERDS PHARMACY 102 best known for clinically?
Directory data describes ECKERDS PHARMACY 102 with Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
What address line appears for ECKERDS PHARMACY 102?
ECKERDS PHARMACY 102's geographic hint is Palmetto, Florida in our summary view.
Why does ECKERDS PHARMACY 102 have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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