Healthcare Provider Details

I. General information

NPI: 1275909384
Provider Name (Legal Business Name): RACHEL HENDERSON PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2015
Last Update Date: 07/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 THINK PL
MORRISVILLE NC
27560
US

IV. Provider business mailing address

3939 COLORADO AVE
DURHAM NC
27707-5379
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-0457
  • Fax: 866-477-1841
Mailing address:
  • Phone: 984-215-3747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26203
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number39145
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number700084
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: