Healthcare Provider Details

I. General information

NPI: 1710626064
Provider Name (Legal Business Name): CODY ANDREW BELDON PHARMD, BCACP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2022
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4530 EASTGATE BLVD
CINCINNATI OH
45245-1266
US

IV. Provider business mailing address

4530 EASTGATE BLVD
CINCINNATI OH
45245-1266
US

V. Phone/Fax

Practice location:
  • Phone: 513-943-6340
  • Fax:
Mailing address:
  • Phone: 513-943-6340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number022782
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03441866
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: