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JORDAN DRUG INC. NPI 1689619348


NPI Information

NPI: 1689619348
Provider Name: JORDAN DRUG, INC.

Doing Business As: JACKSON APOTHECARY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
842 HIGHWAY 15 NORTH
JACKSON, KY
ZIP 41339
Phone: (606) 666-7060
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JORDAN DRUG, INC. is a community/retail pharmacy pharmacy in Jackson, KY. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. JORDAN DRUG, INC. NPI is 1689619348. The provider is registered as an organization entity type.
The provider Is Doing Business As Jackson Apothecary.

The provider's business location address is:

842 HIGHWAY 15 NORTH
JACKSON, KY
ZIP 41339-017
Phone: (606) 666-7060
Fax: (606) 666-9454

The provider's authorized official is Rosemayr C Smith .
The authorized official title is Sec/treas and has the following contact phone number (606) 464-3901.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 5/8/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
33336C0003XPharmacyCommunity/Retail PharmacyP06509KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15400000500MEDICAIDKENTUCKY
2FLU0298OTHERKENTUCKYMEDICARE FLU
39000134800OTHERKENTUCKYDME MEDICAID
40556110011MEDICARE NSCKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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