Active NPI
Benjamin Hudson, PHARMD
- Pharmacist
- Sylvester, GA
National Provider Identifier
1851702328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 026611
- Practice address
- 807 S Isabella St
Sylvester, GA 31791 - Phone
- (229) 776-3908
- Fax
- (229) 776-7425
- NPI assigned
- May 18, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 026611 | GA | Primary |
Addresses
Primary practice location
807 S Isabella St
Sylvester, GA 31791
Mailing address
807 S Isabella St
Sylvester, GA 31791-7554
Phone (229) 776-3908
Other practice location 1
502 Ashburn Hwy
Sylvester, GA 31791-1400
Phone (229) 776-3908
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
| License | State | Type | Specialty |
|---|---|---|---|
| 026611 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1851702328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 S ISABELLA ST",
"city": "SYLVESTER",
"state": "GA",
"postal_code": "317917554",
"telephone_number": "229-776-3908",
"fax_number": "229-776-7425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 S ISABELLA ST",
"city": "SYLVESTER",
"state": "GA",
"postal_code": "31791",
"telephone_number": "229-776-3908",
"fax_number": "229-776-7425"
}
],
"practiceLocations": [
{
"address_1": "502 Ashburn Hwy",
"address_purpose": "LOCATION",
"city": "Sylvester",
"state": "GA",
"postal_code": "317911400",
"country_code": "US",
"telephone_number": "229-776-3908",
"fax_number": "229-776-7425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUDSON",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-18",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "026611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylvester, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.