Individual provider Active NPI

Christopher John Hudenko

  • Pharmacist
  • Farmington, MI
National Provider Identifier
1770194664
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302028932 Issued in MI
Practice address
23354 Farmington Rd
Farmington, MI 48336-3102
Phone
(248) 987-5940
NPI assigned
Aug 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302028932 MI Primary

Addresses

Primary practice location

23354 Farmington Rd
Farmington, MI 48336-3102

Mailing address

16024 Morningside
Northville, MI 48168-6703
Phone (248) 880-3321

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL Northville
CONNECT URL Northville
CONNECT URL Northville
CONNECT URL Northville

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

State licenses

LicenseStateTypeSpecialty
5302028932MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jill'S Genuine Care Pharmacy, LLC PastSince Aug 23, 2020 Accepting new patients

Organizations & group practices 1

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": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1770194664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16024 MORNINGSIDE",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481686703",
            "telephone_number": "248-880-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23354 FARMINGTON RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363102",
            "telephone_number": "248-987-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDENKO",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302028932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Northville",
            "affiliation": "Y",
            "address_1": "23354 Farmington Rd",
            "city": "Farmington",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483363102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Northville",
            "affiliation": "N",
            "address_1": "23354 Farmington Rd",
            "city": "Farmington",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483363102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Northville",
            "affiliation": "Y",
            "address_1": "23354 Farmington Rd",
            "city": "Farmington",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483363102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Northville",
            "affiliation": "N",
            "address_1": "23354 Farmington Rd",
            "city": "Farmington",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483363102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.