Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083250278 Individual Practitioner Male Practitioner

Kody Edward Kavanaugh

Pharmacist • Rocky River, OH

Professional Overview & Biography Verified Profile Summary

Kody Kavanaugh is a registered healthcare professional specializing in Pharmacist in Rocky River, OH. Practice services are available at 22160 CENTER RIDGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

22160 Center Ridge Rd

Rocky River, OH 441163926

Telephone 4403563287
Associated Practice Facility / Clinic
🏢 Riser Foods Company Facility NPI 1053326967

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Rocky River, OH

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

Practicing in Rocky River, OH (11028 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: 2021-10-26
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OH 03440067

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License IN 26027721A

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

4 Associated Practitioners
NPI 1427574466

Doctor of Pharmacy (Pharm.D.)

NPI 1487630182

Registered Pharmacist

Noor Ghanem

Pharmacist

NPI 1518815687
Lisa Nowak

Pharmacist

NPI 1982367314

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 26, 2021

Registered at 22160 CENTER RIDGE RD, ROCKY RIVER, OH 441163926 (Tel: 4403563287)

📍
Updated Business Mailing Address October 26, 2021

Registered at 22160 CENTER RIDGE RD, ROCKY RIVER, OH 441163926 (Tel: 4403563287)

NPI Profile Active November 21, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 21, 2019

Registered at 785 E MAIN ST, DANVILLE, IN 461221941 (Tel: 3177458027)

📍
Updated Business Mailing Address November 21, 2019

Registered at 3157 GREENSVIEW DR, GREENWOOD, IN 461439578 (Tel: 3173089815)

👤
Provider Name / Credentials Updated November 21, 2019

Recorded as KODY KAVANAUGH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2019

Pharmacist (License #26027721A in IN)

🟢
Initial NPI Registration & Enumeration November 21, 2019

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: 1083250278
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2019
Last Update: October 26, 2021
Sole Proprietor: No

Mailing Address

22160 Center Ridge Rd

Rocky River, OH 441163926

Phone: 4403563287

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.