Individual provider Active NPI

Mark F. Hudgens, R.PH.

  • Pharmacist
  • Lubbock, TX
National Provider Identifier
1952303984
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
35481 Issued in TX
Practice address
6104 Avenue Q South Dr
Lubbock, TX 79412-3700
Phone
(806) 472-3455
Fax
(806) 472-3401
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 35481 TX Primary
Pharmacist 183500000X 11963 OK

Addresses

Primary practice location

6104 Avenue Q South Dr
Lubbock, TX 79412-3700

Mailing address

6104 Avenue Q South Dr
Lubbock, TX 79412-3700
Phone (806) 472-3455

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
35481TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1952303984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 AVENUE Q SOUTH DR",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794123700",
            "telephone_number": "806-472-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 AVENUE Q SOUTH DR",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794123700",
            "telephone_number": "806-472-3455",
            "fax_number": "806-472-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDGENS",
        "first_name": "MARK",
        "middle_name": "F.",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "35481",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "11963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.