Provider Demographics
NPI:1417177049
Name:HORNBERGER, RHONDA K (PHARMD)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:K
Last Name:HORNBERGER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:K
Other - Last Name:PERCIVAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4600 COLLEGE BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1606
Mailing Address - Country:US
Mailing Address - Phone:913-215-5008
Mailing Address - Fax:816-447-3960
Practice Address - Street 1:4600 COLLEGE BLVD STE 103
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1606
Practice Address - Country:US
Practice Address - Phone:913-215-5008
Practice Address - Fax:816-447-3960
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO434271835G0303X
KS113671835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric