Healthcare Provider Details

I. General information

NPI: 1841553534
Provider Name (Legal Business Name): RANDALL KEITH GAINER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2012
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1008 WASHINGTON BLVD
BELPRE OH
45714-2390
US

IV. Provider business mailing address

1008 WASHINGTON BLVD
BELPRE OH
45714-2390
US

V. Phone/Fax

Practice location:
  • Phone: 740-423-7271
  • Fax: 740-423-8301
Mailing address:
  • Phone: 740-423-7271
  • Fax: 740-423-8301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03132368
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRP0007866
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: