Lisa Jo Chalupny, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH00014817 Issued in WA

Practice address

400 S 43Rd St
Anticoagulation Clinic
Renton, WA 98055-5714

Phone

(425) 228-3450

NPI assigned

Mar 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lisa Jo McCormick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386763027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 NE 10TH PL",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594367",
            "telephone_number": "425-277-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S 43RD ST",
            "address_2": "ANTICOAGULATION CLINIC",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555714",
            "telephone_number": "425-228-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALUPNY",
        "first_name": "LISA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00014817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MCCORMICK",
            "middle_name": "JO",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Century Massage & Bodywork, Inc
• Susan R. Cero, M.D.
• Frank J. Cervenka, M.D.
• Chad Smart DDS and Vincent O Kokich Jr DMD MSD PLLC
• Sumita Chakrapani, M.D.
• Dawda Cham
• Isatou C Cham, RN
• Kristina Lynn Chamberlain, CNM, ARNP
• Doris Chan-Lee
• John Y Chan, RPH

• Pharmacist in Renton, WA
• Providers in Renton, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.