Healthcare Provider Details

I. General information

NPI: 1861286569
Provider Name (Legal Business Name): KATHRYN JANE GRIBBLE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 E 24TH ST
KANSAS CITY MO
64108-2776
US

IV. Provider business mailing address

25010 W 94TH TER
LENEXA KS
66227-7388
US

V. Phone/Fax

Practice location:
  • Phone: 816-512-7000
  • Fax:
Mailing address:
  • Phone: 913-707-8176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2025033907
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: