Healthcare Provider Details

I. General information

NPI: 1134098064
Provider Name (Legal Business Name): CODY ANGERMAN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 MEDICAL PLAZA DR STE 250
ROSEVILLE CA
95661-3107
US

IV. Provider business mailing address

PO BOX 397
CAMINO CA
95709-0397
US

V. Phone/Fax

Practice location:
  • Phone: 916-878-4960
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberRPH86240
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: