Active NPI
Cody Montgomery Prescod, RPH
- Pharmacist
- Columbia, SC
National Provider Identifier
1205504206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43168
- Practice address
- 2300 Decker Blvd
Columbia, SC 29206-2311 - Phone
- (803) 788-3728
- NPI assigned
- Sep 3, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 43168 | SC | Primary |
Addresses
Primary practice location
2300 Decker Blvd
Columbia, SC 29206-2311
Mailing address
80 Edgewood Dr
Saint Matthews, SC 29135-8465
Phone (732) 306-4630
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43168 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Columbia, SC
- NPI 1710200290
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634342400000",
"number": "1205504206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 EDGEWOOD DR",
"city": "SAINT MATTHEWS",
"state": "SC",
"postal_code": "291358465",
"telephone_number": "732-306-4630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 DECKER BLVD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292062311",
"telephone_number": "803-788-3728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESCOD",
"first_name": "CODY",
"middle_name": "MONTGOMERY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-03",
"last_updated": "2021-10-16",
"certification_date": "2021-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "43168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.