Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cody Jack Gregory, PHARMACYTECH

Individual provider Community Health Worker · NPI 1336958453

Cody Jack Gregory, PHARMACYTECH is a Community Health Worker in Willow Springs, Missouri. Licensed in Missouri. Registered with an NPI since 2025.

Licensed in
MO
In the registry since
2025
Specialties on file
2

Practice location Address checks out

857 E Main St Ste 3
Willow Springs, MO 65793-1500
Phone: (417) 855-1085
Fax: (417) 855-1086
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy Technician (primary) Taxonomy 183700000X · Licence 2024037403 (MO)
Community Health Worker Taxonomy 172V00000X · Licence 19331 (MO)

Record details

NPI number1336958453
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMACYTECH
Sole proprietorNo
NPI enumeratedJanuary 3, 2025
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address857 E Main St Ste 3, Willow Springs, MO 65793-1500

Other providers in Willow Springs