Active NPI
Kenneth Eugene Gudgel, R.PH.
- Pharmacist
- Spokane Valley, WA
National Provider Identifier
1003914128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00010224
- Practice address
- 9329 E Montgomery Ave
Spokane Valley, WA 99206-4295 - Phone
- (509) 343-3379
- Fax
- (509) 242-1764
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | PH00010224 | WA | Primary |
Addresses
Primary practice location
9329 E Montgomery Ave
Spokane Valley, WA 99206-4295
Mailing address
8104 E Maringo Dr
Spokane, WA 99212-1859
Phone (509) 710-2866
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00010224 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003914128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8104 E MARINGO DR",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992121859",
"telephone_number": "509-710-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9329 E MONTGOMERY AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992064295",
"telephone_number": "509-343-3379",
"fax_number": "509-242-1764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUDGEL",
"first_name": "KENNETH",
"middle_name": "EUGENE",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00010224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.