Cody Chisman, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

S023053 Issued in AZ

Practice address

22280 N 67TH Ave
Glendale, AZ 85310-5959

Phone

(623) 572-8328

NPI assigned

Oct 6, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Phoenix, AZ
  • NPI 1285820456
  NPD (past)

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671235200000",
    "number": "1023528718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22280 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105959",
            "telephone_number": "623-572-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22280 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105959",
            "telephone_number": "623-572-8328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2707 W Carefree Hwy",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850858843",
            "country_code": "US",
            "telephone_number": "623-215-0699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHISMAN",
        "first_name": "CODY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-06",
        "last_updated": "2022-12-17",
        "certification_date": "2022-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S023053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Learnmore Chiguma, M.D.
• Amber Childers, MD
• Children'S Medical Group, LTD
• Ericca Lynndsy Childress, FNP-C
• Alyssa Chisholm
• Ruth Chiti
• Janet Barwick Chmela, OTR
• Devin Chmura
• Mini Choi-Rule, PA-S
• Jeans L Choi, D.O.

• Pharmacist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.