Active NPI
Nathan Hudson, PHARMD
- Pharmacist
- Berea, KY
National Provider Identifier
1275056129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 019302
- Practice address
- 120 Jill Dr
Berea, KY 40403-1677 - Phone
- (859) 986-3113
- NPI assigned
- Jul 24, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 019302 | KY | Primary |
Addresses
Primary practice location
120 Jill Dr
Berea, KY 40403-1677
Mailing address
1025 Speedwell Rd
Richmond, KY 40475-9527
Phone (859) 625-8582
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 |
|---|---|---|---|
| 019302 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500854400000",
"number": "1275056129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 SPEEDWELL RD",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404759527",
"telephone_number": "859-625-8582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 JILL DR",
"city": "BEREA",
"state": "KY",
"postal_code": "404031677",
"telephone_number": "859-986-3113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "NATHAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-24",
"last_updated": "2017-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "019302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berea, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.