Bryan Alexander Chudnow, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

26027954A Issued in IN

Practice address

820 N Samuel Moore Pkwy
Mooresville, IN 46158-1467

Phone

(317) 483-5000

NPI assigned

Aug 7, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cotswold Family Medicine

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1083642169
  NPD (past)

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1679052146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3764 MAPLE RIDGE DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015754",
            "telephone_number": "414-380-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N SAMUEL MOORE PKWY",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581467",
            "telephone_number": "317-483-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDNOW",
        "first_name": "BRYAN",
        "middle_name": "ALEXANDER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "IN",
            "license": "26027954A",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "25226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Jo Caudill, MHC, CPSP
• Miyah Renee Chambers
• Holly M Chapman, PA
• Skipper Curtis Cheesman, D.D.S.
• Charles D Christian, M.D.
• City Optical Co., Inc.
• Lori Renee Clark, RD
• Debra Neal Cohen, RPH
• Kristi Combs, LCSW
• Community Hospitals of Indiana Inc

• Ambulatory Care Pharmacist in Mooresville, IN
• Providers in Mooresville, IN by specialty
• Ambulatory Care Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.