Soda City Pharmacy & Compounding LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SODA CITY PHARMACY & COMPOUNDING LLC

Doing business as

Soda City Pharmacy & Compounding

Practice address

380 Saint Andrews Rd
Columbia, SC 29210-4427

Phone

(803) 766-2015

Fax

(803) 563-5135

NPI assigned

Mar 14, 2021

Organization subpart

No

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

Authorized official

Name

Tremain Odell Cooper, PHARMDNPI 1578860656

Title

Owner

Phone

(803) 766-2015

Specialties & licenses 4

Addresses

Other names 1

• Soda City Pharmacy & Compounding Doing business as

Electronic endpoints 2

Locations

Practitioners 1

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

• Tremain Odell Cooper, PHARM.D.

  • Pharmacist
  • Columbia, SC
  • NPI 1578860656

  Community/Retail Pharmacy

  NPD Authorized official

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

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1407431109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SAINT ANDREWS RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104427",
            "telephone_number": "803-766-2015",
            "fax_number": "803-563-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 SAINT ANDREWS RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104427",
            "telephone_number": "803-766-2015",
            "fax_number": "803-563-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SODA CITY PHARMACY & COMPOUNDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-14",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "TREMAIN",
        "authorized_official_middle_name": "ODELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-766-2015",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Columbia",
            "affiliation": "N",
            "endpointDescription": "The endpoint location is a independent community retail pharmacy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "380 Saint Andrews Rd",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292104427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@sodacitypharmacy.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "380 Saint Andrews Rd",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292104427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Soda City Pharmacy & Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Busbee Snyder, LPC
• Carolyn Lorraine Sober
• Deepa Sobti, M.D.
• Soda City Chiropractic, LLC
• Soda City Counseling, LLC
• Soda City Therapeutic Massage
• Htut Naing Soe, MD
• Micah Lee Sok, PA-C
• Mojibola Olayinka Solaja, M.D.
• Solene Psychiatry and Performance

• Community/Retail Pharmacy in Columbia, SC
• Providers in Columbia, SC by specialty
• Community/Retail Pharmacy in South Carolina

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