Active NPI
Cody Patrick
- Pharmacy Technician
- Ashland, KY
National Provider Identifier
1417577941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PT00029466
- Practice address
- 12544 US Route 60
Ashland, KY 41102-9687 - Phone
- (606) 929-5301
- Fax
- (606) 929-5298
- NPI assigned
- Apr 24, 2020
- Sex
- Male
- 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 | PT00029466 | KY | Primary |
Addresses
Primary practice location
12544 US Route 60
Ashland, KY 41102-9687
Mailing address
12544 US Route 60
Ashland, KY 41102-9687
Phone (606) 929-5301
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 |
|---|---|---|---|
| PT00029466 | KY | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1417577941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12544 US ROUTE 60",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411029687",
"telephone_number": "606-929-5301",
"fax_number": "606-929-5298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12544 US ROUTE 60",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411029687",
"telephone_number": "606-929-5301",
"fax_number": "606-929-5298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "CODY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-24",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "KY",
"license": "PT00029466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.