Kari Coody, PHARM D

Individual provider Active NPI Pharmacist · Cochran, GA

NPI 1053950212 · NPPES record last updated Jan 4, 2020

Key facts

NPI
1053950212
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RPH023899 (GA)
Practice address
145 E Peacock St
Cochran, GA 31014-7846
Phone
(478) 934-6211
NPI assigned
Jan 4, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH023899GAMDPharmacist

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19984/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH023899 GA Yes

Addresses

Primary practice location

145 E Peacock St
Cochran, GA 31014-7846

Mailing address

165 Harris Cir
Cochran, GA 31014-3701
Phone (478) 954-0689

Other providers in Cochran, GA

All providers in Cochran, GA · Pharmacist in Georgia

Sources for this page

Verify at the official NPI Registry.