Individual provider Active NPI

Benjamin Hudson, PHARMD

  • Pharmacist
  • Sylvester, GA
National Provider Identifier
1851702328
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
026611 Issued in GA
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

Updated by the provider on Aug 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
026611GAMDPharmacist

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.

Verify at the official NPI Registry.