Active NPI
Cody Leroy Delong, PHARMD
- Pharmacist
- Bluefield, WV
National Provider Identifier
1720798457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0012744
- Practice address
- 225 Quality CT
Bluefield, WV 24701-4993 - Phone
- (304) 888-3427
- NPI assigned
- Dec 5, 2022
- 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 | RP0012744 | WV | Primary |
Addresses
Primary practice location
225 Quality CT
Bluefield, WV 24701-4993
Mailing address
225 Quality CT
Bluefield, WV 24701-4993
Phone (304) 888-3427
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 |
|---|---|---|---|
| RP0012744 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1720798457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 QUALITY CT",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247014993",
"telephone_number": "304-888-3427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 QUALITY CT",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247014993",
"telephone_number": "304-888-3427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELONG",
"first_name": "CODY",
"middle_name": "LEROY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-05",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0012744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluefield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.