Provider Demographics
NPI:1710626064
Name:BELDON, CODY ANDREW (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CODY
Middle Name:ANDREW
Last Name:BELDON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 PAVILION PKWY
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:KY
Mailing Address - Zip Code:41071-2998
Mailing Address - Country:US
Mailing Address - Phone:859-292-5680
Mailing Address - Fax:
Practice Address - Street 1:130 PAVILION PKWY
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41071-2998
Practice Address - Country:US
Practice Address - Phone:859-292-5680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-02
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH000575175183500000X
OH03441866183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist