JORDAN TRYHUBENKO (NPI# 1003327180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003327180 |
| Entity Type | Individual |
| Full Name | JORDAN TRYHUBENKO |
| Credential | PHARMD |
| Practice Address |
Old N. Carolina Hwy 75 Butner NC 27509 |
| Mailing Address |
Po Box 1600 Butner NC 27509-4600 |
| Practice Telephone | 9195753900 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
26192 | NC | Pharmacy Service Providers |
| Street Address |
OLD N. CAROLINA HWY 75 |
| City | BUTNER |
| State | NC |
| Zip Code | 27509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215420088 | Elizabeth Rose Perry | Pharmacist | Old N. Carolina Hwy 75, Butner, NC 27509 | 2018-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196980 | Kara Holden | Psychologist | Old Nc Hwy 75, Butner, NC 27509 | 2019-04-02 |
| 1891256459 | Brandon Anthony Jones | Nurse Practitioner | 3000 Old Hwy 75, Butner, NC 27509 | 2019-03-27 |
| 1588182695 | Brittini Hanna Harbin | Social Worker | Central Regional Hospital, 300 Veazey Rd., Butner, NC 27509 | 2017-09-08 |
| 1306387568 | Danielle Harris | Counselor | 101 W H St, Butner, NC 27509 | 2017-03-20 |
| 1679014195 | Brittany Griffin | Social Worker | 100 H St, Butner, NC 27509 | 2017-03-16 |
| 1881946952 | Derick Phillip | Internal Medicine | Old Oxford Highway 75 Lsci, Federal Correctional Complex, Butner, NC 27509 | 2012-10-12 |
| 1518215268 | Karla Bowens | Physician Assistant | Fmc Butner Old Highway 75, Butner, NC 27509 | 2012-08-28 |
| 1639456262 | Federal Med Center - Butner | Pharmacy | Old Nc 75, Butner, NC 27509 | 2011-11-10 |
| 1659671220 | Brandon Fraser Wyche | Physician Assistant | Fci Butner Medium II Old Nc Hwy 75, Butner, NC 27509 | 2010-10-28 |
| 1053621532 | Robert George Lucking | Psychiatry & Neurology | Fmc Butner, Old Highway 75, Butner, NC 27509 | 2010-10-18 |
| Find all providers in zip 27509 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447779210 | Laura Enman | Pharmacist | Po Box 1600, Butner, NC 27509-4600 | 2017-09-13 |
| 1538714217 | Elizabeth Taber | Pharmacist | 300 Veazey Dr, Butner, NC 27509-1668 | 2019-08-08 |
| 1215420088 | Elizabeth Rose Perry | Pharmacist | Old N. Carolina Hwy 75, Butner, NC 27509 | 2018-06-07 |
| 1518411172 | Donald Allen Thompson IIi | Pharmacist | 300 Veazey Dr, Butner, NC 27509-1668 | 2016-08-11 |
| 1437431400 | Lelia Ann Mitchener | Pharmacist | 300 Veazey Dr, Butner, NC 27509-1668 | 2011-09-15 |
| 1104089127 | Jill Elizabeth Casserly | Pharmacist | 1003 12th St, Pharmacy Department, Butner, NC 27509-1626 | 2008-07-09 |
| 1053457911 | Andrea Mason | Pharmacist | 1003 12th Street, Butner, NC 27509 | 2007-01-29 |
| 1770636516 | Daniel R Paoloni | Pharmacist | 1003 12th St, Butner, NC 27509-1626 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184697716 | Vickie Corbett Ripley | Pharmacist | 2301 Medpark Dr, Coastal Plain Hospital, Rocky Mount, NC 27804-2288 | 2006-02-13 |
| 1861499105 | Valerie G. Brooks | Pharmacist | 2500 Blue Ridge Rd, Suite 330, Raleigh, NC 27607-6469 | 2005-07-01 |
| 1093053191 | Shauna Sutton Garris | Pharmacist | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2013-01-24 |
| 1154587970 | Tammy J Smith | Pharmacist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2008-07-31 |
| 1164612180 | Andrew Joseph Muzyk | Pharmacist | 3601 Mail Service Ctr, Raleigh, NC 27699-3600 | 2007-07-26 |
| 1639398860 | Stephanie M Riddle | Pharmacist | 3511 W Market St, Suite 100, Greensboro, NC 27403-4443 | 2007-04-25 |
| 1013031582 | Martha Sorrentino | Pharmacist | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2007-03-19 |
| 1013002005 | John J Early | Pharmacist | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2006-10-04 |
| 1073622577 | John H Myhre | Pharmacist | 3601 Mail Service Ctr, Raleigh, NC 27699-3601 | 2006-08-29 |
| 1710090436 | Kathryn Gwin Edwards | Pharmacist | Dorothea Dix Hospital, 3601 Mail Service Center, Raleigh, NC 27699-3601 | 2006-08-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.