Todd Codemo, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2014018661 Issued in MO

Practice address

1302 E Sunshine St
Springfield, MO 65804-1144

Phone

(417) 881-8841

Fax

(417) 881-4627

NPI assigned

Nov 17, 2014

Last updated

Nov 17, 2014By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Queen City Pharmacies, LLC

  dba Medicenter Pharmacy

  • Community/Retail Pharmacy
  • Springfield, MO
  • NPI 1013089804
  NPD (past)

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1851797930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 E SUNSHINE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041144",
            "telephone_number": "417-881-8841",
            "fax_number": "417-881-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 E SUNSHINE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041144",
            "telephone_number": "417-881-8841",
            "fax_number": "417-881-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODEMO",
        "first_name": "TODD",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2014018661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "2014018661",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erik T Cochran, NP
• Jillian Cochran
• Kimberly Cochran, FNP
• Melvin L Cochran, MD
• Tom Cochran
• Kimberly R. Coder, FNP
• Jennifer L Codutti, ATC
• Craig Patrick Coenen, PSYD
• Ashley L Coffer, COTA/L
• Megan Marie Coffman, ATC

• Pharmacist in Springfield, MO
• Providers in Springfield, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.