Provider Demographics
NPI:1669571048
Name:RAINSVILLE DRUGS, INC
Entity type:Organization
Organization Name:RAINSVILLE DRUGS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:SHARP
Authorized Official - Last Name:GILES
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:256-638-2255
Mailing Address - Street 1:PO BOX 1370
Mailing Address - Street 2:
Mailing Address - City:RAINSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35986-1370
Mailing Address - Country:US
Mailing Address - Phone:256-638-2255
Mailing Address - Fax:256-638-2257
Practice Address - Street 1:503 MAIN STREET WEST
Practice Address - Street 2:
Practice Address - City:RAINSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35986
Practice Address - Country:US
Practice Address - Phone:256-638-2255
Practice Address - Fax:256-638-2257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009709200Medicaid
AL100002582Medicaid
AL009709200Medicaid