Individual provider Active NPI

Julie Rebecca Hudson, PHARMD

  • Pharmacist
  • Summerville, SC
National Provider Identifier
1568018257
Registry record updated Aug 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
42192 Issued in SC
Practice address
9998 Dorchester Rd
Summerville, SC 29485-8529
Phone
(843) 851-7716
NPI assigned
Aug 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 42192 SC Primary

Addresses

Primary practice location

9998 Dorchester Rd
Summerville, SC 29485-8529

Mailing address

9998 Dorchester Rd
Summerville, SC 29485-8529
Phone (843) 851-7716

Other practice location 1

395 N Highway 52
Moncks Corner, SC 29461-3919
Phone (843) 899-6601

Other practice location 2

1120 N Main St
Summerville, SC 29483-7326
Phone (843) 821-7537

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

LicenseStateTypeSpecialty
42192SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co PastSince Aug 25, 2019 Accepting new patients
Walgreen Co PastSince Aug 25, 2019 Accepting new patients
Walgreen Co PastSince Mar 6, 2022 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566086400000",
    "number": "1568018257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9998 DORCHESTER RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858529",
            "telephone_number": "843-851-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9998 DORCHESTER RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858529",
            "telephone_number": "843-851-7716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 N Highway 52",
            "address_purpose": "LOCATION",
            "city": "Moncks Corner",
            "state": "SC",
            "postal_code": "294613919",
            "country_code": "US",
            "telephone_number": "843-899-6601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 N Main St",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294837326",
            "country_code": "US",
            "telephone_number": "843-821-7537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "JULIE",
        "middle_name": "REBECCA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-18",
        "last_updated": "2019-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "42192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2019; 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.