NPIMap

Organization Active NPI

Eau Claire Coopertive Health Center, Inc.

  • Community/Retail Pharmacy
  • West Columbia, SC
National Provider Identifier
1346723004
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EAU CLAIRE COOPERTIVE HEALTH CENTER, INC.
Practice address
407 North Brown St
West Columbia, SC 29169-5710
Phone
(803) 722-1352
Fax
(803) 995-8846
NPI assigned
Sep 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Delgado Cantave
Title
Ceo
Phone
(803) 733-5969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

407 North Brown St
West Columbia, SC 29169-5710

Mailing address

407 N Brown St
West Columbia, SC 29169-5710
Phone (803) 722-1352

Other names 1

  • West Columbia Coop Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eau Claire Cooperative Health Center Inc42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Locations

407 N Brown St
West Columbia, SC 29169
Phone (803) 722-1352

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1346723004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N BROWN ST",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291695710",
            "telephone_number": "803-722-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 NORTH BROWN ST",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291695710",
            "telephone_number": "803-722-1352",
            "fax_number": "803-995-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAU CLAIRE COOPERTIVE HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "CANTAVE",
        "authorized_official_first_name": "DELGADO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-733-5969"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Columbia Coop Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Columbia Coop Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.