Active NPI
Judith M Dudek, RPH
- Pharmacist
- Neenah, WI
National Provider Identifier
1144506502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11687-40
- Practice address
- 500 S Commercial St
Neenah, WI 54956-3383 - Phone
- (920) 729-1311
- NPI assigned
- Oct 31, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 11687-40 | WI | Primary |
Addresses
Primary practice location
500 S Commercial St
Neenah, WI 54956-3383
Mailing address
W2434 Hickory Park Dr
Appleton, WI 54915-7483
Phone (920) 749-1531
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 |
|---|---|---|---|
| 11687-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1144506502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W2434 HICKORY PARK DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549157483",
"telephone_number": "920-749-1531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S COMMERCIAL ST",
"city": "NEENAH",
"state": "WI",
"postal_code": "549563383",
"telephone_number": "920-729-1311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDEK",
"first_name": "JUDITH",
"middle_name": "M",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-31",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "11687-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.