Active NPI
Cody Burton
- Pharmacist
- West Chester, OH
National Provider Identifier
1548856602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03237055
- Practice address
- 10160 International Blvd
West Chester, OH 45246-4846 - Phone
- (855) 513-6337
- NPI assigned
- Dec 14, 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03237055 | OH | Primary |
Addresses
Primary practice location
10160 International Blvd
West Chester, OH 45246-4846
Mailing address
10160 International Blvd
West Chester, OH 45246-4846
Phone (855) 513-6337
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 |
|---|---|---|---|
| 03237055 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare Pharmacy, L.L.C. | Current | Accepting new patients | |
| Procare Pharmacy, LLC. | Past | Accepting new patients |
Locations
10160 International Blvd
West Chester, OH 45246
Phone (513) 860-1573
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1548856602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10160 INTERNATIONAL BLVD",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "452464846",
"telephone_number": "855-513-6337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10160 INTERNATIONAL BLVD",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "452464846",
"telephone_number": "855-513-6337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTON",
"first_name": "CODY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-14",
"last_updated": "2020-12-14",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03237055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.