NPIMap

Organization Active NPI

East Cooper Family Pharmacy

  • Pharmacy
  • Mt Pleasant, SC
National Provider Identifier
1366502007
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
50002348 Issued in SC
Legal business name
EAST COOPER FAMILY PHARMACY
Practice address
913 Bowman Rd
Suite 100
Mt Pleasant, SC 29464-3235
Phone
(843) 881-0478
Fax
(843) 881-5532
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Mary Anne Cisa
Title
Pharmacist
Phone
(843) 881-0478

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 50002348 SC
Pharmacy 333600000X 50002348 SC Primary

Addresses

Primary practice location

913 Bowman Rd
Suite 100
Mt Pleasant, SC 29464-3235

Mailing address

913 Bowman Rd
Suite 100
Mt Pleasant, SC 29464-3235
Phone (843) 881-0478

National Provider Directory

National Provider Directory

Locations

913 Bowman Rd
Ste 100
Mt Pleasant, SC 29464
Phone (843) 881-0478

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1366502007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 BOWMAN RD",
            "address_2": "SUITE 100",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643235",
            "telephone_number": "843-881-0478",
            "fax_number": "843-881-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 BOWMAN RD",
            "address_2": "SUITE 100",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643235",
            "telephone_number": "843-881-0478",
            "fax_number": "843-881-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COOPER FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "CISA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "843-881-0478"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "50002348",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "50002348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.