Karen C Chang, RPH
Individual provider Active NPI Pharmacist · Cotati, CA
NPI 1043436280 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043436280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH59478 (CA)
- Practice address
- 31 George St
Cotati, CA 94931-4230 - Phone
- (707) 792-2010
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH59478 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH59478 | CA | Yes |
Addresses
Primary practice location
31 George St
Cotati, CA 94931-4230
Mailing address
31 George St
Cotati, CA 94931-4230
Phone (707) 792-2010
Other providers in Cotati, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.