Individual provider Active NPI

Christine Chuateco, RPH

  • Pharmacist
  • Rohnert Park, CA
National Provider Identifier
1659677276
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
49774 Issued in CA
Practice address
5901 Redwood Dr
Rohnert Park, CA 94928-2076
Phone
(707) 540-9112
Fax
(707) 540-9133
NPI assigned
Jan 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 49774 CA Primary

Addresses

Primary practice location

5901 Redwood Dr
Rohnert Park, CA 94928-2076

Mailing address

5901 Redwood Dr
Rohnert Park, CA 94928-2076
Phone (707) 540-9112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
49774CAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1659677276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 REDWOOD DR",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282076",
            "telephone_number": "707-540-9112",
            "fax_number": "707-540-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 REDWOOD DR",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282076",
            "telephone_number": "707-540-9112",
            "fax_number": "707-540-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUATECO",
        "first_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "49774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rohnert Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.