Lori Chudacoff, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

40577 Issued in CA

Practice address

1600 Los Gamos Dr
San Rafael, CA 94903-1806

Phone

(415) 444-3961

NPI assigned

Nov 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639241987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SANTA BARBARA AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601653",
            "telephone_number": "415-721-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LOS GAMOS DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031806",
            "telephone_number": "415-444-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDACOFF",
        "first_name": "LORI",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "40577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan J. Choung, DPM
• Julie Baker Chouteau, LMFT
• Carole Ann Christensen, MFT
• Melinda Louise Christianson, DDS
• Julia Chu, PH.D.
• Cindy Chunfat, D.P.T.
• Cindy T. Chung, MD
• Taeho L Chung, JD
• Trudi Chwialkowski
• Catherine Cicotte, R.N., M.F.T.

• Pharmacist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Pharmacist in California

• 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.