Active NPI
Jeffery Alan Chodrow
- Geriatric Pharmacist
- Moneta, VA
National Provider Identifier
1750801080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 0202207482
- Practice address
- 1282 Twelve Acre Rd
Moneta, VA 24121-1779 - Phone
- (540) 330-5252
- NPI assigned
- Jun 27, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 0202207482 | VA | Primary |
Addresses
Primary practice location
1282 Twelve Acre Rd
Moneta, VA 24121-1779
Mailing address
1282 Twelve Acre Rd
Moneta, VA 24121-1779
Phone (540) 330-5252
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202207482 | VA | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1750801080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1282 TWELVE ACRE RD",
"city": "MONETA",
"state": "VA",
"postal_code": "241211779",
"telephone_number": "540-330-5252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1282 TWELVE ACRE RD",
"city": "MONETA",
"state": "VA",
"postal_code": "241211779",
"telephone_number": "540-330-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHODROW",
"first_name": "JEFFERY",
"middle_name": "ALAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "VA",
"license": "0202207482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moneta, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.