Individual provider Active NPI

George E. Udud, RPH

  • Pharmacist
  • Clermont, FL
National Provider Identifier
1528353182
Registry record updated Jun 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS14652 Issued in FL
Practice address
2660 E Hwy 50
Clermont, FL 34711-6034
Phone
(352) 394-7626
Fax
(352) 394-7626
NPI assigned
Jun 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS14652 FL Primary

Addresses

Primary practice location

2660 E Hwy 50
Clermont, FL 34711-6034

Mailing address

14840 Greater Pines Blvd
Clermont, FL 34711-7617
Phone (352) 223-2146

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS14652FLMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307836800000",
    "number": "1528353182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14840 GREATER PINES BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117617",
            "telephone_number": "352-223-2146",
            "fax_number": "352-394-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 E HWY 50",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116034",
            "telephone_number": "352-394-7626",
            "fax_number": "352-394-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDUD",
        "first_name": "GEORGE",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-12",
        "last_updated": "2011-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS14652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.