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Reena Chadha

Physician β€’ East Palatka, FL

Deactivated NPI 1992494744 Deactivated in NPPES Female Practitioner
Practice location in NPPES

164 S Us Highway 17 Ste 10
East Palatka, FL 321314066

Phone: 9045060060

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of May 12, 2023; the reason is not published. The records below are historical. They do not show whether Reena Chadha currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date May 05, 2023
NPI Deactivation Date May 12, 2023
NPI Active Period 2023 – 2023

Practice Location & Contact Primary Location

Practice Address

164 S Us Highway 17 Ste 10

East Palatka, FL 321314066

Telephone 9045060060
Fax 9045155795
Organization at the Same NPPES Address or Phone
Av 1 Pharma Llc Facility NPI 1912418286

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in East Palatka and Florida

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Pharmacy - Community/Retail Pharmacy Primary Specialty

NUCC Taxonomy Code: 3336C0003X

License # reported to NPPES FL PH30939

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Jillian Jernigan

Advanced Practice Midwife

NPI 1902382468

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated May 12, 2023

NPPES lists this NPI as deactivated as of May 12, 2023; the reason is not published.

βœ…
NPI Profile Active May 05, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 05, 2023

Registered at 164 S US HIGHWAY 17 STE 10, EAST PALATKA, FL 321314066 (Tel: 9045060060)

πŸ“
Business Mailing Address (Initial Record) May 05, 2023

Registered at PO BOX 600861, SAINT JOHNS, FL 322600861 (Tel: 9045060060)

πŸ‘€
Provider Name / Credentials (Initial Record) May 05, 2023

Recorded as REENA CHADHA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2023

Pharmacy (license number reported to NPPES: FL PH30939)

🟒
Initial NPI Registration & Enumeration May 05, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992494744
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2023
Last Update: May 05, 2023
Deactivation Date: May 12, 2023

Mailing Address

Po Box 600861

Saint Johns, FL 322600861

Phone: 9045060060

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.