Provider Demographics
NPI:1346736360
Name:SHOTT, RACHEL ERIN (PHARMD, BCPS)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ERIN
Last Name:SHOTT
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ERIN
Other - Last Name:CHRYSSOFOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD, BCPS
Mailing Address - Street 1:251 GRESSLY RD
Mailing Address - Street 2:
Mailing Address - City:RUFFS DALE
Mailing Address - State:PA
Mailing Address - Zip Code:15679-1460
Mailing Address - Country:US
Mailing Address - Phone:724-961-5076
Mailing Address - Fax:
Practice Address - Street 1:5274 ROUTE 30 STE 10
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-7831
Practice Address - Country:US
Practice Address - Phone:724-216-0317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0010601183500000X
390200000X
PARP4527341835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program