Provider Demographics
NPI:1184218315
Name:RAINS, BRANDI S (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRANDI
Middle Name:S
Last Name:RAINS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:BRANDI
Other - Middle Name:S
Other - Last Name:RAINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1009 N SUMTER BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34286-8073
Mailing Address - Country:US
Mailing Address - Phone:941-426-5083
Mailing Address - Fax:
Practice Address - Street 1:1009 N SUMTER BLVD
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34286-8073
Practice Address - Country:US
Practice Address - Phone:941-426-5083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-28
Last Update Date:2021-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS61950183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist