Active NPI
Hudson Pharmacy Inc
- Long Term Care Pharmacy
- Hudson, MI
National Provider Identifier
1306515309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- HUDSON PHARMACY INC
- Practice address
- 325 Railroad St Ste D
Hudson, MI 49247-1062 - Phone
- (517) 448-3111
- Fax
- (517) 448-5892
- NPI assigned
- Sep 13, 2021
- Last updated
- Sep 13, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joann Marie Sanborn, RPH
- Title
- VP Operations
- Phone
- (517) 448-3111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
325 Railroad St Ste D
Hudson, MI 49247-1062
Mailing address
1410 W Ganson St
Jackson, MI 49202-4063
Phone (517) 789-8980
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174696926 | Medicaid | MI | |
| 0352390001 | Other | MEDICARE SUPPLIER NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Hudson, MI
- NPI 1396027066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631491200000",
"number": "1306515309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 W GANSON ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492024063",
"telephone_number": "517-789-8980",
"fax_number": "517-789-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 RAILROAD ST STE D",
"city": "HUDSON",
"state": "MI",
"postal_code": "492471062",
"telephone_number": "517-448-3111",
"fax_number": "517-448-5892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-13",
"last_updated": "2021-09-13",
"certification_date": "2021-08-26",
"status": "A",
"authorized_official_last_name": "SANBORN",
"authorized_official_first_name": "JOANN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "VP OPERATIONS",
"authorized_official_telephone_number": "517-448-3111",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174696926",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SUPPLIER NUMBER",
"identifier": "0352390001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.