Provider Demographics
NPI:1942594205
Name:HAMPTON, RANAE (PHARMD)
Entity Type:Individual
Prefix:
First Name:RANAE
Middle Name:
Last Name:HAMPTON
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 1:11309 W 131ST ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-4480
Mailing Address - Country:US
Mailing Address - Phone:913-232-7950
Mailing Address - Fax:
Practice Address - Street 1:11309 W 131ST ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-4480
Practice Address - Country:US
Practice Address - Phone:913-232-7950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-04
Last Update Date:2011-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS112936183500000X
MO2001000222183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist