Active NPI
Eddie James Hukle, RPH, PHARMD
- Pharmacist
- Lake City, FL
National Provider Identifier
1528169372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14792
- Practice address
- 619 South Marion Ave
Lake City, FL 32056-9000 - Phone
- (180) 030-8838
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 14792 | FL | Primary |
Addresses
Primary practice location
619 South Marion Ave
Lake City, FL 32056-9000
Mailing address
19319 NW 230 Street
High Springs, FL 32643
Phone (180) 030-8838
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14792 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407888000000",
"number": "1528169372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19319 NW 230 STREET",
"city": "HIGH SPRINGS",
"state": "FL",
"postal_code": "32643",
"telephone_number": "180-030-8838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 SOUTH MARION AVE",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320569000",
"telephone_number": "180-030-8838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUKLE",
"first_name": "EDDIE",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "RPH, PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2014-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "14792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.