Individual provider Active NPI

Cody L Canary, PHARM.D

  • Pharmacist
  • Stillwater, OK
National Provider Identifier
1609656032
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20269 Issued in OK
Practice address
111 N Perkins Rd
Stillwater, OK 74075-5521
Phone
(405) 372-2897
NPI assigned
Oct 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20269 OK Primary

Addresses

Primary practice location

111 N Perkins Rd
Stillwater, OK 74075-5521

Mailing address

3813 Family Cir
Guthrie, OK 73044-6937
Phone (405) 938-5916

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
Credentials
Doctor of Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1609656032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 FAMILY CIR",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730446937",
            "telephone_number": "405-938-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N PERKINS RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740755521",
            "telephone_number": "405-372-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANARY",
        "first_name": "CODY",
        "middle_name": "L",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "20269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.