Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083103154 Individual Practitioner Male Practitioner

Dr. Cody Lee Hattenberger , PharmD

Pharmacist • Mcconnell Afb, KS

Professional Overview & Biography Verified Profile Summary

Dr. Cody Hattenberger, PharmD is a registered healthcare professional specializing in Pharmacist in Mcconnell Afb, KS. Practice services are available at 57950 LEAVENWORTH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

57950 Leavenworth St

Mcconnell Afb, KS 672213506

Telephone 1637595277
Associated Practice Facility / Clinic
🏢 22 Mdg Facility NPI 1275931263

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Mcconnell Afb, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Mcconnell Afb, KS (2627 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-06
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License AZ S023388

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jennifer Varney , DNP, FNP-BC

Nurse Practitioner - Family

NPI 1013968338

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Victoria Hatchett

Student in an Organized Health Care Education/Training Program

NPI 1053163022
Alisa Norlin , LSCSW

Social Worker - Clinical

NPI 1053376616
Ty Hunt , MPT

Physical Therapist

NPI 1063460905

Master of Physical Therapy

NPI 1073151023

Physical Therapist, Doctor of Physical Therapy

NPI 1093986994

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 06, 2021

Registered at 57950 LEAVENWORTH ST, MCCONNELL AFB, KS 672213506 (Tel: 1637595277)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2021

Pharmacist (License #S023388 in AZ)

NPI Profile Active May 04, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 04, 2018

Registered at 15835 W SUPAI DR, GOODYEAR, AZ 853383301 (Tel: 2182132521)

📍
Updated Business Mailing Address May 04, 2018

Registered at 15835 W SUPAI DR, GOODYEAR, AZ 853383301 (Tel: 2182132521)

👤
Provider Name / Credentials Updated May 04, 2018

Recorded as CODY HATTENBERGER, PHARM.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2018

Pharmacist (License #I012175 in AZ)

🟢
Initial NPI Registration & Enumeration May 04, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083103154
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2018
Last Update: August 06, 2021
Sole Proprietor: No

Mailing Address

15835 W Supai Dr

Goodyear, AZ 853383301

Phone: 2182132521

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.