LORI CHUDACOFF (NPI# 1639241987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639241987 |
| Entity Type | Individual |
| Full Name | LORI CHUDACOFF |
| Credential | PHARMD |
| Practice Address |
1600 Los Gamos Dr San Rafael CA 94903-1806 |
| Mailing Address |
37 Santa Barbara Ave San Anselmo CA 94960-1653 |
| Practice Telephone | 4154443961 |
| Mailing Telephone | 4157217961 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 40577 | CA | Pharmacy Service Providers |
| Street Address |
1600 LOS GAMOS DR |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083700173 | David Clark Ferry | Pharmacist | 1600 Los Gamos Dr, San Rafael, CA 94903-1806 | 2006-10-05 |
| 1720224561 | Timothy Daniel Mccarthy | Pharmacist | 1600 Los Gamos Dr, #275, San Rafael, CA 94903-1806 | 2008-12-29 |
| 1477602449 | William Marion Barnard | Psychiatry & Neurology | 1600 Los Gamos Dr, Suite 300, San Rafael, CA 94903-1806 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386112951 | Jessica Robinson | Pharmacist | 350 Northgate One, San Rafael, CA 94903-3415 | 2018-11-12 |
| 1225554470 | I-kuan Hsu | Pharmacist | 100 Smith Ranch Rd Fl 2, San Rafael, CA 94903-5552 | 2017-08-19 |
| 1558725168 | Tashi Gonpo | Pharmacist | 1500 Northgate Dr, San Rafael, CA 94903-3671 | 2016-04-09 |
| 1851718498 | Mayra Guzman | Pharmacist | 950 Las Gallinas Av, San Rafael, CA 94903 | 2014-03-20 |
| 1093144594 | Tiffany Deering | Pharmacist | 9 Diego Dr, San Rafael, CA 94903-2367 | 2013-11-05 |
| 1285063172 | Elham Barkhordari-bafoghi | Pharmacist | 1030 Cresta Way, Apt # 3, San Rafael, CA 94903-4842 | 2013-11-01 |
| 1194093351 | Jessica Anne Clubb | Pharmacist | 950 Las Gallinas Ave, Safeway Pharmacy, San Rafael, CA 94903 | 2011-12-02 |
| 1922308345 | Frank Peter Tarantino | Pharmacist | 485 Pinewood Dr, San Rafael, CA 94903-1331 | 2010-11-02 |
| 1740592492 | Dennis Philip Schafer | Pharmacist | 471 3rd St, San Rafael, CA 94901-3576 | 2010-07-10 |
| 1669606984 | Nicole Marie Clausen | Pharmacist | 1525 Francisco Blvd E Ste 2, San Rafael, CA 94901-5560 | 2009-05-14 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on LORI CHUDACOFF.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.