Stacy Alan Cody, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

32333 Issued in TX

Practice address

1505 S Broadway St
Sulphur Springs, TX 75482-4921

Phone

(903) 885-2639

Fax

(903) 335-8989

NPI assigned

May 18, 2007

Last updated

Apr 25, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crimson Care Pharmacy Group II, LLC

  • Community/Retail Pharmacy
  • Sulphur Springs, TX
  • NPI 1053641639
  NPD (past)
• Crimson Care Pharmacy Group II, LLC

  dba Cody Drug

  • Long Term Care Pharmacy
  • Sulphur Springs, TX
  • NPI 1821501016
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1437367877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 S BROADWAY ST",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824921",
            "telephone_number": "903-885-2639",
            "fax_number": "903-335-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S BROADWAY ST",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824921",
            "telephone_number": "903-885-2639",
            "fax_number": "903-335-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODY",
        "first_name": "STACY",
        "middle_name": "ALAN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "32333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Child & Family Therapy Center
• Adrian Denise Childress, PA-C
• Christus Hopkins Health Alliance (Christus Mother Frances - Sulphur Springs)
• Christus Hopkins Health Alliance (Christus Mother Frances - Sulphur Springs)
• Christus Trinity Clinic
• Bridgette Denise Coker, M.D.
• Lacy Wynnette Coker, M.A., CCC-SLP
• Connor Collins, D.C.
• Nikki Collins
• Community Birth Group

• Pharmacist in Sulphur Springs, TX
• Providers in Sulphur Springs, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.