Andrew Michael Coder

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

0202219679 Issued in VA

Practice address

8333 Rockside Rd
Cleveland, OH 44125-6134

Phone

(216) 369-2200

NPI assigned

Aug 6, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1891469433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 MANGRUMS ROAD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "24541",
            "telephone_number": "434-251-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 ROCKSIDE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441256134",
            "telephone_number": "216-369-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODER",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-06",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0202219679",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "VA",
            "license": "0202219679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Cobler, AU.D., CCC-A
• Sharrie Coburn, PHD COSMETOLOGIST
• La'Qitta Chnelle Cochran, RN
• Nina Cocic, CDCA
• Lillie B Cockrell-Jakes
• Alicia Danielle Cody
• Natoya Cody
• Shameika A Cody
• Sherie A Cody
• Altovese Coe, SWT

• Mail Order Pharmacy in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Mail Order Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.

Verify at the official NPI Registry.