BRAXTON TYLER CORDILL PHARMD NPI 1396405882

NPI Information

  • NPI: 1396405882
  • Provider Name: BRAXTON TYLER CORDILL, PHARMD
  • Classification: Pharmacist - 183500000X
  • Entity Type: Individual
  • Address: 101 LAUREL AVE
    COEBURN, VA
    ZIP 24230
  • Phone: (276) 395-5396

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NPI Details

Braxton Tyler Cordill, PHARMD is a pharmacist in Coeburn, VA. The provider is 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. Braxton Tyler Cordill, PHARMD NPI is 1396405882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 LAUREL AVE
COEBURN, VA
ZIP 24230-529
Phone: (276) 395-5396
Fax: (276) 395-7928

The enumeration date for this NPI number is 12/23/2021 and was last updated on 12/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist0202220134VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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