Kohei Kudo, PHARMD
Individual provider Active NPI Pharmacist · Roeland Park, KS
NPI 1316355142 · NPPES record last updated Jul 15, 2019
Key facts
- NPI
- 1316355142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1-15561 (KS)
- Practice address
- 5150 Roe Blvd
Roeland Park, KS 66205-2359 - Phone
- (913) 236-8778
- NPI assigned
- Jul 24, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-15561 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dillon Companies LLC | Past | Accepting new patients | |
| Dillon Companies LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-15561 | KS | Yes |
Addresses
Primary practice location
5150 Roe Blvd
Roeland Park, KS 66205-2359
Mailing address
5150 Roe Blvd
Roeland Park, KS 66205-2359
Phone (913) 236-8778
Other practice location 1
1305 E Kansas Ave
Garden City, KS 67846-5805
Phone (620) 275-1957
Other providers in Roeland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.