Cody Michael Davis

Primary specialty

PharmacistTaxonomy code 183500000X

License

03440953 Issued in OH

Practice address

613 W Main St
Louisville, OH 44641-1335

Phone

(330) 875-1429

Fax

(330) 875-2753

NPI assigned

Aug 4, 2021

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Lane Drug Co

  • Community/Retail Pharmacy
  • Findlay, OH
  • NPI 1184630493
  NPD (past)
• Lane Drug Co

  • Community/Retail Pharmacy
  • Louisville, OH
  • NPI 1427068238
  NPD (past)

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1326712142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 CATHY ANN DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126552",
            "telephone_number": "330-770-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446411335",
            "telephone_number": "330-875-1429",
            "fax_number": "330-875-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CODY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03440953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO STATE BOARD OF PHARMACY",
            "identifier": "03440953",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Louisville
• Cleveland Clinic Mercy Hospital
• Lauren Colston, CNP
• Megan Conley, M.A., CCC-SLP
• Matthew Cowles
• Kevin Davis, LPCC
• Christine A Deck, CNP
• Jeffery Diezman
• Rebecca B Dixon
• Pamela Marie Dougherty, LPN

• Pharmacist in Louisville, OH
• Providers in Louisville, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.