Cody Bottenfield, PHARMD
Individual provider Active NPI Pharmacist · Staunton, VA
NPI 1982207072 · NPPES record last updated Nov 19, 2020
Key facts
- NPI
- 1982207072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202217987 (VA)
- Practice address
- 1015 Richmond Ave
Staunton, VA 24401-4905 - Phone
- (540) 885-7491
- NPI assigned
- Nov 19, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202217987 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Giant Company, LLC | Past |
Accepting new patients | |
| The Giant Company, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202217987 | VA | Yes |
Addresses
Primary practice location
1015 Richmond Ave
Staunton, VA 24401-4905
Mailing address
1015 Richmond Ave
Staunton, VA 24401-4905
Phone (540) 885-7491
Other providers in Staunton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.