Active NPI
Cody A Shields, PHARMD
- Pharmacist
- Talladega, AL
National Provider Identifier
1649875246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21716
- Practice address
- 503 Battle St E
Talladega, AL 35160-2540 - Phone
- (256) 315-1659
- NPI assigned
- Dec 1, 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 | 21716 | AL | Primary |
Addresses
Primary practice location
503 Battle St E
Talladega, AL 35160-2540
Mailing address
503 Battle St E
Talladega, AL 35160-2540
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21716 | AL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
503 Battle St E
Talladega, AL 35160
Phone (256) 315-1659
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.
-
- Pharmacy
- Talladega, AL
- NPI 1023268489
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1649875246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 BATTLE ST E",
"city": "TALLADEGA",
"state": "AL",
"postal_code": "351602540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 BATTLE ST E",
"city": "TALLADEGA",
"state": "AL",
"postal_code": "351602540",
"telephone_number": "256-315-1659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "CODY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "21716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Talladega, AL
- Sarrell Regional Dental Center for Public Health
- Sarrell Regional Dental Center for Public Health,Inc.
- Sarrell Regional Optical Center
- Candace Scearce
- Joseph Anthony Schnorbus, O.D.
- Elizabeth Shirk, PMHNP-BC
- Muhammed K. Siddiqui, M.D.
- Nukeysha Lafay Sillmon, REGISTERED NURSE
- Jorgi Amelia Sims, PTA
- Smart Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.