MEDICARE: KRISTIN HODGE PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	2020020852	MO

General Provider Information

NPI Number	:	1285515411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN HODGE PHARMD

Provider Business Mailing Address
First Line	:	1729 GRAND BLVD STE 21
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-1413
Country	:	US
Telephone Number	:	913-322-8456
Fax Number	:

Provider Business Practice Location Address
First Line	:	1729 GRAND BLVD STE 21
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-1413
Country	:	US
Telephone Number	:	913-322-8456
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2025
Last Update Date	:	09/12/2025

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Directions to “ KRISTIN HODGE PHARMD” Practice Location

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