Active NPI
Brent Hudson
- Pharmacist
- Augusta, GA
National Provider Identifier
1053580993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH023645
- Practice address
- 2604 Peach Orchard Rd
Augusta, GA 30906-2406 - Phone
- (706) 798-5645
- NPI assigned
- Feb 25, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Wrens, GA
- NPI 1164669214
-
- Community/Retail Pharmacy
- Louisville, GA
- NPI 1255623385
-
- Long Term Care Pharmacy
- Louisville, GA
- NPI 1285424705
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH023645 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Louisville Project, LLC | Current | Accepting new patients | |
| Bryant and Hudson | Current | Accepting new patients | |
| The Louisville Project, LLC | Current | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH023645 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2604 Peach Orchard Rd
Augusta, GA 30906-2406
Mailing address
2604 Peach Orchard Rd
Augusta, GA 30906-2406
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 332660172A | Medicaid | GA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 24, 2015.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427155200000",
"number": "1053580993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2604 PEACH ORCHARD RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309062406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2604 PEACH ORCHARD RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309062406",
"telephone_number": "706-798-5645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "BRENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-25",
"last_updated": "2015-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH023645",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "332660172A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.