Active NPI
Gary Cozad
- Pharmacy Technician
- Portland, OR
National Provider Identifier
1164213500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- CPT-0015317
- Practice address
- 9800 SE Washington St
CVS Pharmacy
Portland, OR 97216-2420 - Phone
- (503) 252-5934
- NPI assigned
- May 15, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | CPT-0015317 | OR | Primary |
Addresses
Primary practice location
9800 SE Washington St
CVS Pharmacy
Portland, OR 97216-2420
Mailing address
2900 General Anderson Rd Apt L110
Vancouver, WA 98661-9006
Phone (941) 735-2583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPT-0015317 | OR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1164213500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 GENERAL ANDERSON RD APT L110",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986619006",
"telephone_number": "941-735-2583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 SE WASHINGTON ST",
"address_2": "CVS PHARMACY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162420",
"telephone_number": "503-252-5934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COZAD",
"first_name": "GARY",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-05-15",
"last_updated": "2025-05-15",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "OR",
"license": "CPT-0015317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.