Active NPI
Cody S Coffman, PHARMD.
- Pharmacist
- Madison, WV
National Provider Identifier
1699024232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0007683
- Practice address
- 471 Main St
Madison, WV 25130-1223 - Phone
- (304) 369-5170
- NPI assigned
- Aug 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | RP0007683 | WV | Primary |
Addresses
Primary practice location
471 Main St
Madison, WV 25130-1223
Mailing address
2700 Mountaineer Blvd
South Charleston, WV 25309-9442
Phone (304) 746-1725
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 |
|---|---|---|---|
| RP0007683 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1699024232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 MOUNTAINEER BLVD",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253099442",
"telephone_number": "304-746-1725",
"fax_number": "304-746-1727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "471 MAIN ST",
"city": "MADISON",
"state": "WV",
"postal_code": "251301223",
"telephone_number": "304-369-5170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFMAN",
"first_name": "CODY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-29",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0007683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.