DR. CODY BRUCE RACHA (NPI# 1003423989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003423989 |
| Entity Type | Individual |
| Full Name | DR. CODY BRUCE RACHA |
| Credential | PHARMD |
| Practice Address |
908 State St Ogdensburg NY 13669-3348 |
| Practice Telephone | 3153931714 |
| Mailing Telephone | 3153931714 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 065663 | NY | Pharmacy Service Providers |
| Street Address |
908 STATE ST |
| City | OGDENSBURG |
| State | NY |
| Zip Code | 13669-3348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356524185 | Ryan Michael Titus | Pharmacist | 908 State St, Ogdensburg, NY 13669-3348 | 2007-12-15 |
| 1568069342 | Matthew C Hoeffner | Pharmacist | 908 State St, Ogdensburg, NY 13669-3348 | 2020-10-05 |
| 1972020717 | Kristen Mckeel | Pharmacist | 908 State St, Ogdensburg, NY 13669-3348 | 2017-08-23 |
| 1396262002 | Martin Fregoe | Pharmacist | 908 State St, Ogdensburg, NY 13669-3348 | 2017-08-23 |
| 1932623048 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 908 State St, Ogdensburg, NY 13669-3348 | 2017-07-31 |
| 1881143881 | Cody Russell | Pharmacist | 908 State St, Ogdensburg, NY 13669-3348 | 2016-10-02 |
| 1255713202 | Stephen Buddenhagen | Pharmacist | 908 State St, Ogdensburg, NY 13669-3348 | 2015-06-26 |
| 1265879654 | Job C Edwards | Pharmacist | 908 State St, Ogdensburg, NY 13669-3348 | 2013-05-27 |
| 1689821605 | Kary K Patterson | Pharmacist | 908 State St, Ogdensburg, NY 13669-3348 | 2008-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598274581 | Taylor Mclear | Occupational Therapist | 100 Ford St, Ogdensburg, NY 13669 | 2017-09-22 |
| 1457769267 | Nupur Nagrare | Family Medicine | 100 Horwood Pl, Ogdensburg, NY 13669 | 2014-07-24 |
| 1598008039 | Darcie L Ferro | Counselor | 206 Ford St., Ogdensburg, NY 13669 | 2013-04-03 |
| 1326380999 | United Helpers Mosaic | Nursing Care | 732 Ford Street, Ogdensburg, NY 13669 | 2013-03-21 |
| 1831497346 | Nicole Sovie | Licensed Practical Nurse | 828 Franklin St., Ogdensburg, NY 13669 | 2011-03-08 |
| 1023331105 | Alyssa Megan Murphy | Pharmacist | 723 Canton Street, Ogdensbury, NY 13669 | 2010-03-03 |
| 1023266137 | Tonya Lynn Ott | Licensed Practical Nurse | 618 Irvin St, Ogdensburg, NY 13669 | 2008-09-03 |
| 1659551778 | Jeremy M. Warchol | Physical Therapist | 203 State Street, Northern Physical Therapy, Pllc, Ogdensburg, NY 13669 | 2007-11-06 |
| 1760683353 | Katie Elizabeth Lesperance | Social Worker | 109 Ford Street, Ogdensburg, NY 13669 | 2007-05-30 |
| 1013045632 | Dale Lester Hosmer | Dentist | 414 Jay Street, Ogdensburg, NY 13669 | 2007-03-02 |
| Find all providers in zip 13669 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395228 | Jeffrey Scott Green | Pharmacist | 3931 State Highway 37, Ogdensburg, NY 13669-4237 | 2020-04-23 |
| 1871986497 | Kaycee Maree Walsh | Pharmacist | 2981 Ford Street Ext Ste 9, Ogdensburg, NY 13669-4455 | 2015-03-06 |
| 1356524185 | Ryan Michael Titus | Pharmacist | 908 State St, Ogdensburg, NY 13669-3348 | 2007-12-15 |
| 1508045022 | Guy P Calandra | Pharmacist | 723 Canton St, Ogdensburg, NY 13669-3801 | 2007-10-31 |
| 1568069342 | Matthew C Hoeffner | Pharmacist | 908 State St, Ogdensburg, NY 13669-3348 | 2020-10-05 |
| 1689155301 | Mark C Donnelly | Pharmacist | 2981 Ford Street Ext, Ogdensburg, NY 13669-3474 | 2018-08-22 |
| 1972020717 | Kristen Mckeel | Pharmacist | 908 State St, Ogdensburg, NY 13669-3348 | 2017-08-23 |
| 1396262002 | Martin Fregoe | Pharmacist | 908 State St, Ogdensburg, NY 13669-3348 | 2017-08-23 |
| 1881143881 | Cody Russell | Pharmacist | 908 State St, Ogdensburg, NY 13669-3348 | 2016-10-02 |
| 1568834828 | Laura Ann Beckstead | Pharmacist | 700 Canton St, Ogdensburg, NY 13669-3836 | 2015-10-27 |
| Find all providers in OGDENSBURG | ||||
| City | OGDENSBURG |
| Zip Code | 13669 |
Please comment or provide details below to improve the information on DR. CODY BRUCE RACHA.
| 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.