John R Cody, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

24428 Issued in TX

Practice address

212 North St
Nacogdoches, TX 75961-5260

Phone

(936) 569-6430

Fax

(936) 560-9358

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pharm Nacogdoches Acquisition LLC

  dba Medicine Shoppe LTC

  • Long Term Care Pharmacy
  • Nacogdoches, TX
  • NPI 1013694264
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1801837562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759615260",
            "telephone_number": "936-569-6430",
            "fax_number": "936-560-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759615260",
            "telephone_number": "936-569-6430",
            "fax_number": "936-560-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODY",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "24428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifton E. Thomas, MD, PA
• Cline Family Practice
• Eric A Cline, MD
• Mark A Cline, M.D.
• Rachel L Cline
• Brice Coffman, PHARMD
• Dennis Wayne Coffman, MD
• Quincy D Coleman
• Sandra Benavides Collier, RPH
• Adriana Kei Collins, LPC-ASSOCIATE

• Pharmacist in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.