Cody Jack Gregory, PHARMACY TECH

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

2024037403 Issued in MO

Practice address

857 E Main St Ste 3
Willow Springs, MO 65793-1500

Phone

(417) 855-1085

Fax

(417) 855-1086

NPI assigned

Jan 3, 2025

Last updated

Apr 7, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1336958453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 E MAIN ST STE 3",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657931500",
            "telephone_number": "417-855-1085",
            "fax_number": "417-855-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 E MAIN ST STE 3",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657931500",
            "telephone_number": "417-855-1085",
            "fax_number": "417-855-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "CODY",
        "middle_name": "JACK",
        "credential": "PHARMACY TECH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-03",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MO",
            "license": "2024037403",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MO",
            "license": "19331",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Charles Gardner, APN
• Good Graces (Good Graces Pharmacy)
• Good Graces LLC (Good Graces Pharmacy)
• Bobbi Sue Gregory, CHW-C, CPHT
• Brandon Gregory, PHARMD
• Kehnemund Gregory
• Mary Howell, MS
• Victoria Howerton, RN
• Aldyth R Huston
• Sarah B James

• Pharmacy Technician in Willow Springs, MO
• Providers in Willow Springs, MO by specialty
• Pharmacy Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.