MARK JORDAN (NPI# 1063748085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063748085 |
| Entity Type | Individual |
| Full Name | MARK JORDAN |
| Credential | PHARM.D. |
| Practice Address |
2400 S Avenue A Yrmc Pharmacy Department Yuma AZ 85364-7127 |
| Practice Telephone | 9283367814 |
| Practice Fax Number | 9283367696 |
| Mailing Telephone | 9283367814 |
| Mailing Fax Number | 9283367696 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S012942 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760938310 | Mark Jordan | Pharmacist | 5719 Us 23, Oscoda, MI 48750 | 2016-09-01 |
| 1326459892 | Mark Jordan | Case Manager/Care Coordinator | 300 Hartford Dr, Lancaster, OH 43130-1571 | 2014-05-18 |
| 1568801025 | Mark Allen Jordan | Orthopaedic Surgery | 9600 Gross Point Rd Ste 2900, Skokie, IL 60076-1214 | 2013-06-18 |
| 1881772309 | Mark Vernon Jordan | Internal Medicine | 12801 W Wyndridge Ct Apt 203, New Berlin, WI 53151-8799 | 2006-11-01 |
| 1013478338 | Mark Austin Jordan | Behavior Technician | 29174 Sw Town Center Loop W Ste 101, Wilsonville, OR 97070-9309 | 2019-03-28 |
| 1619212966 | Mark Franklin Jordan | Dentist | 6120 Paseo Del Norte, K1, Carlsbad, CA 92011-1150 | 2012-11-27 |
| 1740374461 | Mark Jordan | Psychologist | 2701 W 68th Street, Chicago, IL 60629 | 2006-10-03 |
| 1902901937 | Mark Saunders Jordan | Specialist | 117 E Kings Hwy, Eden, NC 27288-5201 | 2006-09-14 |
| 1831121607 | Mark Louis Jordan | Urology | 90 Bergen St, Doc 2300, Newark, NJ 07103-2425 | 2006-07-06 |
| 1770521080 | Mark Jordan | Internal Medicine | 2546 Balltown Rd, Suite 300, Schenectady, NY 12309-1079 | 2006-06-02 |
| Street Address |
2400 S AVENUE A YRMC PHARMACY DEPARTMENT |
| City | YUMA |
| State | AZ |
| Zip Code | 85364-7127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458182 | Rajesh S Khona | Anesthesiology | 2400 S Avenue A, Yuma, AZ 85364-7127 | 2005-06-27 |
| 1235737594 | Briana Smith | Nurse Practitioner | 2400 S Avenue A, Yuma, AZ 85364-7170 | 2020-10-09 |
| 1295343853 | Anne Paetra Flanagan | Nurse Practitioner | 2400 S Avenue A, Yuma, AZ 85364-7170 | 2020-07-20 |
| 1215551023 | Miriam Alvarez | Advanced Practice Midwife | 2400 S Avenue A, Yuma, AZ 85364-7170 | 2020-06-08 |
| 1174145304 | Marjorie Dina Bacon | Family Medicine | 2400 S Avenue A, Yuma, AZ 85364-7170 | 2020-05-11 |
| 1720600950 | Lee Barnwell | Family Medicine | 2400 S Avenue A, Yuma, AZ 85364-7127 | 2020-05-11 |
| 1306468582 | Mina Tawadrous | Family Medicine | 2400 S Avenue A, Yuma, AZ 85364-7170 | 2020-05-11 |
| 1487276614 | Stephanie Donoso Clark | Family Medicine | 2400 S Avenue A, Yuma, AZ 85364-7170 | 2020-05-11 |
| 1336775766 | Ashley Taylor Nickerson | Physician Assistant | 2400 S Avenue A, Yuma, AZ 85364-7127 | 2020-03-17 |
| 1598397317 | Monica G. Lopez | Nurse Practitioner | 2400 S Avenue A, Yuma, AZ 85364-7127 | 2020-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
| 1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
| 1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
| 1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
| 1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
| Find all providers in zip 85364 | ||||
| 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 |
|---|---|---|---|---|
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1225425648 | Carolyn Schussman | Pharmacist | 2501 S Ave B, Yuma, AZ 85364-7734 | 2015-04-23 |
| 1821402553 | Abdul Rehman | Pharmacist | 11203 S Frontage Rd, Yuma, AZ 85367-7875 | 2014-06-20 |
| 1083026231 | Cvs Pharmacy | Pharmacist | 11464 S Fortuna Rd, Yuma, AZ 85367 | 2014-05-22 |
| 1700209988 | Robert Letendre | Pharmacist | 24 W Rio Colorado Dr Lot 4, Yuma, AZ 85365-4101 | 2014-01-24 |
| 1033542089 | Olayemi Falowo | Pharmacist | 4844 W 28th Ln, Yuma, AZ 85364-9815 | 2013-08-14 |
| 1013288513 | Matin Ghafuri | Pharmacist | 1450 S Yuma Palms Pkwy, T2083, Yuma, AZ 85365-1707 | 2012-01-16 |
| 1568731016 | Matthew R Nunes | Pharmacist | 11203 E South Frontage Rd, Yuma, AZ 85367 | 2011-12-28 |
| 1720319684 | Eswar Reddy Masireddy | Pharmacist | 2081 S 4th Ave, 28th St, Yuma, AZ 85364 | 2010-01-15 |
| 1568671451 | Olugbenga Solomon Oduyale | Pharmacist | 2209 E 27th St, Yuma, AZ 85365-3274 | 2007-05-21 |
| Find all providers in YUMA | ||||
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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.