Provider Demographics
NPI:1770853087
Name:RAINS, KIMBERLY E (PHARMD)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:E
Last Name:RAINS
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 1:9001 WOODY TER
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-4255
Mailing Address - Country:US
Mailing Address - Phone:301-856-6501
Mailing Address - Fax:
Practice Address - Street 1:9001 WOODY TER
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-4255
Practice Address - Country:US
Practice Address - Phone:301-856-6501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16210183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist