Healthcare Provider Details

I. General information

NPI: 1407450638
Provider Name (Legal Business Name): RACHEL HINES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2020
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 S HIGHWAY 127
RUSSELL SPRINGS KY
42642-4268
US

IV. Provider business mailing address

6747 S KY 837
BETHELRIDGE KY
42516-6646
US

V. Phone/Fax

Practice location:
  • Phone: 270-216-7010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number021548
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number021548
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: