CODY WAYNE GRAHAM


Address: 5415 S. Broadway Ave., Tyler, TX 75703
Phone: 9039399298

CODY WAYNE GRAHAM (NPI# 1427572544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427572544
Entity Type Individual
Full Name CODY WAYNE GRAHAM
Practice Address 5415 S. Broadway Ave.
Tyler
TX 75703
Mailing Address 5415 S Broadway Ave
Tyler
TX 75703-1397
Practice Telephone 9039399298
Enumeration Date 2017-07-31
Last Update Date 2017-07-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 60949 TX Pharmacy Service Providers

Other Providers CODY GRAHAM

NPI Name Taxonomy Address Enumeration
1215499579 Cody Robert Graham Social Worker 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 2019-04-04
1902367097 Cody Ryan Graham Behavioral Analyst 5755 Oberlin Dr Ste 300, San Diego, CA 92121-4717 2019-03-29

Office Location

Street Address 5415 S. BROADWAY AVE.
City TYLER
State TX
Zip Code 75703

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174155477 Choice Supportive Care Team Inc. Family Medicine 4293 Kinsey Drive, Tyler, TX 75703 2020-02-05
1770052532 Refinery Chiropractic LLC Chiropractor 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 2018-11-21
1215419353 Deidre Lynn Fergason Occupational Therapy Assistant 3505 Old Jacksonville Hwy, Tyler, TX 75703 2018-09-05
1710473681 Justin Taylor Ross Dentist 8938 S Broadway Ave Ste 380, Tyler, TX 75703 2018-07-03
1457843450 Adam Tyler Barnes, Dds of Texas II, Pllc Dentist 8938 South Broadway, Ste 480, Tyler, TX 75703 2018-06-05
1083106462 Integrity Health Internal Medicine 5605 Old Bullard Rd Ste B, Tyler, TX 75703 2018-06-01
1750805941 Roger Bryan Chapman Nurse Practitioner 6115 New Copeland Rd, Tyler, TX 75703 2017-07-28
1427570084 Darah Lynne Dahlem Speech-Language Pathologist 401 E. Front Street Ste 123, Tyler, TX 75703 2017-07-14
1194267468 Herman Lester Hampton Jr. Surgery 5803 Regents Row, Tyler, TX 75703 2016-11-17
1508318460 Tyler Integrative Health and Wellness, LLC Physical Medicine & Rehabilitation 7062 Highlands Ln, Tyler, TX 75703 2016-10-26
Find all providers in zip 75703

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669073433 Josephine S Asamoah Pharmacist 3820 Tx-64, Tyler, TX 75704-5582 2020-11-06
1790386738 Jennifer O Jackson Pharmacist 1900 Ese Loop323, Tyler, TX 75701-8337 2020-11-05
1528669132 Youness Ennouri Pharmacist 2025 Ssw Loop 323, Tyler, TX 75701-0763 2020-11-02
1194325415 Rupal R Patel Pharmacist 3820 Tx 64, Tyler, TX 75704 2020-10-27
1528673597 Holly Beth Lutmer Pharmacist 4901 Kinsey Dr Apt 1723, Tyler, TX 75703-3033 2020-09-15
1558976498 Traci Carroll George Pharmacist 1600 W Sw Loop 323, Tyler, TX 75701-8532 2020-09-08
1538773213 Zachary Thompson Pharmacist 19201 Oakbrook Rd, Tyler, TX 75703-8233 2020-09-01
1699392407 Cathlyn Yu Pharmacist 13157 Hwy 271, Tyler, TX 75708-2453 2020-06-26
1245878826 Kim Annette Parks Pharmacist 113 Nnw Loop 323, Tyler, TX 75702-8725 2019-12-14
1366003063 Austin J Dowell Pharmacist 4290 Kinsey Dr Ste 100, Tyler, TX 75703-1022 2019-06-24
Find all providers in TYLER

Competitor

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City TYLER
Zip Code 75703

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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