Provider Demographics
NPI:1932781325
Name:WAINAINA, KEFA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KEFA
Middle Name:
Last Name:WAINAINA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17020 BEAVER SPRINGS DR STE 8
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2398
Mailing Address - Country:US
Mailing Address - Phone:832-940-9996
Mailing Address - Fax:
Practice Address - Street 1:17020 BEAVER SPRINGS DR STE 8
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2398
Practice Address - Country:US
Practice Address - Phone:832-940-9996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-25
Last Update Date:2021-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX546421835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist