Healthcare Provider Details

I. General information

NPI: 1356276133
Provider Name (Legal Business Name): RACHAEL HAGENBARTH
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5080 DELHI RD
CINCINNATI OH
45238-5343
US

IV. Provider business mailing address

1014 VINE ST STE 1000
CINCINNATI OH
45202-1100
US

V. Phone/Fax

Practice location:
  • Phone: 513-451-7050
  • Fax:
Mailing address:
  • Phone: 513-762-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03445388
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: