MEDICARE: CODY BRYANT WEATHERFORD PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	021457	KY

General Provider Information

NPI Number	:	1447107438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CODY BRYANT WEATHERFORD PHARMD

Provider Business Mailing Address
First Line	:	5014 WOLFPEN WOODS DR
Second Line	:
City	:	PROSPECT
State	:	KY
Zip	:	40059-9196
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	170 CLERMONT RD STE D
Second Line	:
City	:	SHEPHERDSVILLE
State	:	KY
Zip	:	40165-8826
Country	:	US
Telephone Number	:	800-850-4306
Fax Number	:	800-823-4506

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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