Organization Active NPI

Eiccua LLC

  • Pharmacy
  • Wilson, NC
National Provider Identifier
1275006355
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
EICCUA LLC
Practice address
404 Nash St S
Wilson, NC 27893-3888
Phone
(252) 293-4177
Fax
(252) 293-4180
NPI assigned
Jan 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ijeoma Agnes UwakweNPI 1932490497
Title
Pharmacy Manager
Phone
(252) 293-4177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

404 Nash St S
Wilson, NC 27893-3888

Mailing address

404 Nash St S
Wilson, NC 27893-3888
Phone (252) 293-4177

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

404 Nash St S
Wilson, NC 27893
Phone (252) 239-4177

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1275006355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 NASH ST S",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933888",
            "telephone_number": "252-293-4177",
            "fax_number": "252-293-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 NASH ST S",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933888",
            "telephone_number": "252-293-4177",
            "fax_number": "252-293-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EICCUA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "UWAKWE",
        "authorized_official_first_name": "IJEOMA",
        "authorized_official_middle_name": "AGNES",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "252-293-4177"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.