Provider Demographics
NPI:1154089969
Name:GAINES, HOWARD COLMUS III (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:COLMUS
Last Name:GAINES
Suffix:III
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3551 ROGER BROOKE DR
Mailing Address - Street 2:
Mailing Address - City:JBSA FT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4504
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7050 AIR DEPOT BLVD
Practice Address - Street 2:BLDG 1094
Practice Address - City:APO
Practice Address - State:AA
Practice Address - Zip Code:73135
Practice Address - Country:US
Practice Address - Phone:405-582-6315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-30
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC310043336C0003X, 171000000X, 1835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care