Provider Demographics
NPI:1083273346
Name:HIRT, KRISTINA L (PHARMD)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:L
Last Name:HIRT
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 1:2 MIRANOVA PL STE 500
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-7052
Mailing Address - Country:US
Mailing Address - Phone:614-321-9743
Mailing Address - Fax:614-647-0070
Practice Address - Street 1:2 MIRANOVA PL STE 500
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-7052
Practice Address - Country:US
Practice Address - Phone:614-321-9743
Practice Address - Fax:614-647-0070
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-11
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH032368671835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0428518Medicaid