Provider Demographics
NPI:1699930800
Name:HOGAN, RACHAEL CHRISTEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:CHRISTEN
Last Name:HOGAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 NE PLUMBROOK PL
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-1660
Mailing Address - Country:US
Mailing Address - Phone:405-410-9939
Mailing Address - Fax:
Practice Address - Street 1:4801 E LINWOOD BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64128-2226
Practice Address - Country:US
Practice Address - Phone:816-861-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2024-09-23
Deactivation Date:2021-03-20
Deactivation Code:
Reactivation Date:2024-09-23
Provider Licenses
StateLicense IDTaxonomies
OK141131835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist