Eckerds Rx 108 LLC
Eckerds Rx 108 LLC is a healthcare organization registered as Community/Retail Pharmacy in Lutz, FL, holding Type 2 (organization) NPI 1336759505 since 2020. The authorized official on file is Vikram Rao, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1336759505 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Eckerds Rx 108 LLC |
| Practice address | 17510 N US HIGHWAY 41, Lutz, FL, 33549 |
| Phone | 8134999266 |
| Fax | 8134999277 |
| Enumeration date | 2020-08-03 |
| Last updated in NPPES | 2025-11-25 |
Authorized official
| Name | Vikram Rao |
|---|---|
| Title | President |
| Phone | 9415387122 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336L0003X | Long Term Care Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH32838 | Other | FL | STATE LICENSE |
Copy-ready billing details
Provider: Eckerds Rx 108 LLC NPI: 1336759505 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 17510 N US HIGHWAY 41, Lutz, FL, 33549
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1366033631 | Mio Ezura | Individual | Pharmacist | Lutz, FL |
| 1518617760 | Titan Health PA | Organization | General Practice Physician | Lutz, FL |
| 1063141539 | Devan Patel | Individual | Pharmacist | Lutz, FL |
Verify this record
Cross-check NPI 1336759505 against the authoritative CMS record: view Eckerds Rx 108 LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Eckerds Rx 108 LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-11-25.