Healthcare Provider Details

I. General information

NPI: 1346335155
Provider Name (Legal Business Name): RACHEL N CHANDRA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 W 3RD ST
DAYTON OH
45428-9000
US

IV. Provider business mailing address

3736 FINCASTLE DR
BEAVERCREEK OH
45431-2432
US

V. Phone/Fax

Practice location:
  • Phone: 397-268-6511
  • Fax:
Mailing address:
  • Phone: 397-268-6511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberPS32215
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPS32215
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: