Provider Demographics
NPI:1639422744
Name:JEMES, PAULA (PHARMD)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:JEMES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7172 COLUMBIA GATEWAY DR
Mailing Address - Street 2:STE 300
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-2990
Mailing Address - Country:US
Mailing Address - Phone:888-668-6779
Mailing Address - Fax:
Practice Address - Street 1:7172 COLUMBIA GATEWAY DR STE 300
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2993
Practice Address - Country:US
Practice Address - Phone:888-662-6779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-26
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA019923183500000X
MD215361835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist