Active NPI
Christian Hodge, PHARM D
- Pharmacist
- Edgewater, CO
National Provider Identifier
1215606348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA.0020703
- Practice address
- 1985 Sheridan Blvd
Edgewater, CO 80214-1325 - Phone
- (720) 274-3666
- NPI assigned
- Sep 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA.0020703 | CO | Primary |
Addresses
Primary practice location
1985 Sheridan Blvd
Edgewater, CO 80214-1325
Mailing address
4728 Truckee St
Denver, CO 80249-8692
Phone (856) 571-5335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA.0020703 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631318400000",
"number": "1215606348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4728 TRUCKEE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802498692",
"telephone_number": "856-571-5335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1985 SHERIDAN BLVD",
"city": "EDGEWATER",
"state": "CO",
"postal_code": "802141325",
"telephone_number": "720-274-3666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "CHRISTIAN",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-11",
"last_updated": "2021-09-11",
"certification_date": "2021-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0020703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewater, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.