Active NPI
Thomas M Huddle, PHARMD
- Pharmacist
- Seattle, WA
National Provider Identifier
1275015992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60866123
- Practice address
- 108 NE 94TH St
Seattle, WA 98115-2725 - Phone
- (217) 320-9397
- NPI assigned
- Aug 29, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17711-40 | WI | |
| Pharmacist | 183500000X | 051300254 | IL | |
| Pharmacist | 183500000X | PH60866123 | WA | Primary |
Addresses
Primary practice location
108 NE 94TH St
Seattle, WA 98115-2725
Mailing address
108 NE 94TH St
Seattle, WA 98115-2725
Phone (217) 320-9397
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051300254 | IL | MD | Pharmacist |
| PH60866123 | WA | MD | Pharmacist |
| 17711-40 | WI | MD | Pharmacist |
Interoperability endpoints
- thuddle196945@ghc.direct-ci.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1275015992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 NE 94TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152725",
"telephone_number": "217-320-9397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 NE 94TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152725",
"telephone_number": "217-320-9397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDDLE",
"first_name": "THOMAS",
"middle_name": "M",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-29",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "17711-40",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051300254",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60866123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.