Andrew R Hudson, RPH
Individual provider Active NPI Pharmacist · Paxton, IL
NPI 1467595017 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1467595017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- Practice address
- 108 N Market Street
Paxton, IL 60957 - Phone
- (217) 379-4858
- Fax
- (217) 379-3917
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-040861 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Pharmacy Group Inc | Current | Accepting new patients | |
| Hudson Pharmacy Group Inc | Current |
Accepting new patients |
Locations
108 N Market St
Paxton, IL 60957
Phone (217) 379-4858
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IL | Yes |
Addresses
Primary practice location
108 N Market Street
Paxton, IL 60957
Mailing address
712 E Patton Street
Paxton, IL 60957
Phone (217) 379-4858
Other providers in Paxton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.