DR. CHARLES R JORDAN (NPI# 1013295120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013295120 |
| Entity Type | Individual |
| Full Name | DR. CHARLES R JORDAN |
| Credential | PHARMD |
| Practice Address |
13111 W Alameda Pkwy Lakewood CO 80228-3108 |
| Mailing Address |
7930 S Poplar Way Centennial CO 80112-3117 |
| Practice Telephone | 3039809346 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2011-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18360 | CO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508477910 | Charles B. Jordan | Technician | 1339 Fairview Rd, Webster Springs, WV 26288-8444 | 2020-08-11 |
| 1306126263 | Charles Raymond Jordan | Nurse Practitioner | 1350 Sunset Dr Ste B, Grenada, MS 38901-4079 | 2011-08-24 |
| 1568561462 | Charles E Jordan | Orthopaedic Surgery | 751 Pre Emption Rd, Suite 1, Geneva, NY 14456 | 2006-09-21 |
| 1871565374 | Charles J Jordan | Dentist | 1425 W Grand Ave Ste 101, Haysville, KS 67060-1270 | 2006-02-07 |
| 1518516392 | Charles Jordan | Dentist | 412 Northside Dr E, Statesboro, GA 30458-4802 | 2019-09-05 |
| 1932752110 | Charles Jordan | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2019-07-17 |
| 1679033476 | Charles Jordan | Nurse Practitioner | 10201 Highway 16, Comanche, TX 76442-4462 | 2019-03-20 |
| 1578060794 | Charles Jordan | Counselor | 4124 Linden Ave, Dayton, OH 45432-3018 | 2018-04-13 |
| 1205340890 | Charles Jordan | Physical Therapist | 2699 Wehrle Dr, Williamsville, NY 14221-7332 | 2017-11-20 |
| 1386168334 | Charles Jermaine Jordan | Emergency Medical Technician, Basic | Lyster Army Health Clinic, Building 301, Andrews Avenue, Fort Rucker, AL 36362-5333 | 2017-08-01 |
| Street Address |
13111 W ALAMEDA PKWY |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841229895 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 13111 W Alameda Pkwy, Lakewood, CO 80228 | 2006-07-02 |
| 1912208026 | Joel S Bershof | Pharmacist | 13111 W Alameda Pkwy, Lakewood, CO 80228-3108 | 2010-11-04 |
| 1518099076 | Tiffany Ann Moore | Pharmacist | 13111 W Alameda Pkwy, Lakewood, CO 80228-3108 | 2007-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050211 | Jungryul Koh | Pharmacist | 12611 49th Avenue Ct Sw Apt C302, Lakewood, WA 98499-5184 | 2020-10-14 |
| 1881291797 | Jeffrey Douglas Bunce | Pharmacist | 4704 127th Street Ct Sw Apt A205, Lakewood, WA 98499-5863 | 2020-10-04 |
| 1497367866 | Sergey I Fouks | Pharmacist | 449 S Balsam St, Lakewood, CO 80226-3012 | 2020-08-18 |
| 1275171951 | Sarah Brown Bueno | Pharmacist | 3918 S Wadsworth Blvd Apt 202, Lakewood, CO 80235-2271 | 2019-12-12 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1477003564 | Joseph Bitto | Pharmacist | 11280 W 20th Ave Apt 26, Lakewood, CO 80215-1264 | 2016-10-12 |
| 1205382678 | Eric Kyle Geyer | Pharmacist | 2077 Bunts Rd, Lakewood, OH 44107-6101 | 2016-08-26 |
| 1447611447 | Mary Lenefsky | Pharmacist | 1860 S Marshall Cir, Lakewood, CO 80232-7086 | 2016-03-18 |
| 1437514049 | Ngocboi Maring | Pharmacist | 12892 W Louisiana Ave, Lakewood, CO 80228-3500 | 2015-12-24 |
| 1447622253 | Paul Krakauskas | Pharmacist | 2930 Simms St, Lakewood, CO 80215-7032 | 2015-10-20 |
| Find all providers in LAKEWOOD | ||||
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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.