Healthcare Provider Details

I. General information

NPI: 1992303580
Provider Name (Legal Business Name): RACHEL MCHUGH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2020
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5237 PROVIDENCE RD
VIRGINIA BEACH VA
23464-4201
US

IV. Provider business mailing address

1461 FIVE FORKS RD
VIRGINIA BEACH VA
23455-4246
US

V. Phone/Fax

Practice location:
  • Phone: 757-495-9713
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0202215526
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: