Individual provider Active NPI

Randy Halvor Hude, PHARM.D.

  • Pharmacist
  • Washougal, WA
National Provider Identifier
1003134487
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60095958 Issued in WA
Practice address
3307 Evergreen Way Ste 5
Washougal, WA 98671-2063
Phone
(360) 335-2006
Fax
(360) 335-2008
NPI assigned
May 11, 2010
Last updated
Sep 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60095958 WA Primary

Addresses

Primary practice location

3307 Evergreen Way Ste 5
Washougal, WA 98671-2063

Mailing address

3307 Evergreen Way Ste 5
Washougal, WA 98671-2063
Phone (360) 335-2006

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

LicenseStateTypeSpecialty
PH60095958WAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1003134487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 EVERGREEN WAY STE 5",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986712063",
            "telephone_number": "360-335-2006",
            "fax_number": "360-335-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 EVERGREEN WAY STE 5",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986712063",
            "telephone_number": "360-335-2006",
            "fax_number": "360-335-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDE",
        "first_name": "RANDY",
        "middle_name": "HALVOR",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-11",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60095958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washougal, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.