Active NPI
Kodi Hunner Brock, PHARMD
- Pharmacist
- Alexandria, KY
National Provider Identifier
1871220087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 022994
- Practice address
- 1 Viewpoint Dr
Alexandria, KY 41001-1086 - Phone
- (859) 635-1420
- NPI assigned
- Aug 7, 2022
- Last updated
- Aug 7, 2022
- 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 | 022994 | KY | Primary |
Addresses
Primary practice location
1 Viewpoint Dr
Alexandria, KY 41001-1086
Mailing address
1 Viewpoint Dr
Alexandria, KY 41001-1086
Phone (859) 635-1420
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 |
|---|---|---|---|
| 022994 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co. | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1 Viewpoint Dr
Alexandria, KY 41001
Phone (859) 445-1425
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659830400000",
"number": "1871220087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 VIEWPOINT DR",
"city": "ALEXANDRIA",
"state": "KY",
"postal_code": "410011086",
"telephone_number": "859-635-1420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 VIEWPOINT DR",
"city": "ALEXANDRIA",
"state": "KY",
"postal_code": "410011086",
"telephone_number": "859-635-1420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCK",
"first_name": "KODI",
"middle_name": "HUNNER",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-07",
"last_updated": "2022-08-07",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "022994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.