DR. JORDAN CLARK SQUIRES (NPI# 1205287273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205287273 |
| Entity Type | Individual |
| Full Name | DR. JORDAN CLARK SQUIRES |
| Credential | PHARMD |
| Practice Address |
1501 W Cumberland St Dunn NC 28334-4505 |
| Practice Telephone | 9108911930 |
| Practice Fax Number | 9108911936 |
| Mailing Telephone | 9108911930 |
| Mailing Fax Number | 9108911936 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26185 | NC | Pharmacy Service Providers |
| Street Address |
1501 W CUMBERLAND ST |
| City | DUNN |
| State | NC |
| Zip Code | 28334-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447553698 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1501 W Cumberland St, Dunn, NC 28334-4505 | 2010-12-09 |
| 1881249100 | Elizabeth Helen Long | Pharmacist | 1501 W Cumberland St, Dunn, NC 28334-4505 | 2019-08-04 |
| 1457861866 | Sarah Lynn Eggers | Pharmacist | 1501 W Cumberland St, Dunn, NC 28334-4505 | 2017-10-11 |
| 1407302383 | Walgreens Pharmacy | Pharmacy | 1501 W Cumberland St, Dunn, NC 28334 | 2016-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549229 | Passages To Recovery, LLC | Counselor | 201 N Wilson Avenue #d, Dunn, NC 28334 | 2020-02-05 |
| 1053873620 | Med-trans Corporation | Ambulance | 716 Tilghman Dr, Dunn, NC 28334 | 2019-04-03 |
| 1477009728 | Elizabeth Liles Mcgee Fegert | Speech-Language Pathologist | 111 S. Raiload Ave, Dunn, NC 28334 | 2016-08-28 |
| 1326407602 | Global Health Metrics, LLC | Clinic/Center | 726 Tilghman Drive, Dunn, NC 28334 | 2016-02-16 |
| 1902296015 | Amanda Weissman | Social Worker | 710 W Broad St, Dunn, NC 28334 | 2015-01-27 |
| 1861742462 | Southeastern Speciality Clinic | Physician Assistant | 520 Erwin Road, Dunn, NC 28334 | 2012-09-12 |
| 1558643551 | Alzheimer's Related Care of Dunn, LLC | Assisted Living Facility | 217 Jonesboro Rd., Dunn, NC 28334 | 2011-09-15 |
| 1609177104 | Carenet, Inc. | Counselor | 1001 Plain View Hwy, Dunn, NC 28334 | 2010-11-15 |
| 1003042128 | Trust The Process Inc. | Home Health | 608 A West Broad St, Dunn, NC 28334 | 2009-06-03 |
| 1861655714 | Carolina Eye Associates Inc | Ophthalmology | 107 Hunt Drive, Dunn, NC 28334 | 2008-07-09 |
| Find all providers in zip 28334 | ||||
| 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 |
|---|---|---|---|---|
| 1154772341 | Christopher Powell | Pharmacist | 1721 W Cumberland St, Dunn, NC 28334-4509 | 2016-06-29 |
| 1609192772 | Carolina Discount Drug Store, LLC | Pharmacist | 741 Tilghman Dr, Dunn, NC 28334-5507 | 2010-04-14 |
| 1194056523 | Joel Davis Mccray | Pharmacist | 196 Bayside Rd, Dunn, NC 28334-7681 | 2010-01-25 |
| 1245457530 | Heather Riddle Mcleod | Pharmacist | 58 Willowcroft Ct, Dunn, NC 28334-6278 | 2007-04-19 |
| 1649895046 | Austin Zane Watkins | Pharmacist | 1402 W Cumberland St, Dunn, NC 28334-4504 | 2020-06-11 |
| 1578104733 | Jenna Pope | Pharmacist | 200 N Ellis Ave, Dunn, NC 28334-3807 | 2019-09-30 |
| 1881249100 | Elizabeth Helen Long | Pharmacist | 1501 W Cumberland St, Dunn, NC 28334-4505 | 2019-08-04 |
| 1316401615 | Chasity Hargrove | Pharmacist | 3331 Easy St, Dunn, NC 28334-7988 | 2019-01-31 |
| 1457861866 | Sarah Lynn Eggers | Pharmacist | 1501 W Cumberland St, Dunn, NC 28334-4505 | 2017-10-11 |
| 1720506736 | Leigh Ann Mcstoots | Pharmacist | 200 N Ellis Ave, Dunn, NC 28334-3807 | 2017-08-30 |
| Find all providers in DUNN | ||||
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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.