JORDAN CLARK DAVIS (NPI# 1407134935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407134935 |
| Entity Type | Individual |
| Full Name | JORDAN CLARK DAVIS |
| Credential | PHARM D |
| Practice Address |
1223 Cibecue Cir San Carlos AZ 85550-0208 |
| Mailing Address |
Po Box 208 San Carlos AZ 85550-0208 |
| Practice Telephone | 9284752371 |
| Practice Fax Number | 9284757272 |
| Mailing Telephone | 9284752371 |
| Mailing Fax Number | 9284757272 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S018104 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245864396 | Jordan Nichole Davis | Nurse Practitioner | 7035 Pickwell Dr Apt 2100, San Antonio, TX 78223-3385 | 2020-02-27 |
| 1043728223 | Jordan Elizabeth Davis | Occupational Therapist | 4500 Orchard Pl, Gasport, NY 14067-9208 | 2018-01-22 |
| 1831649532 | Jordan Katherine Davis | Case Manager/Care Coordinator | 1005 3rd St, Bay City, MI 48708-6012 | 2016-10-06 |
| 1033726948 | Jordan Alliah Davis | Physical Therapist | 3007 Panola Rd Ste C, Lithonia, GA 30038-2492 | 2020-09-24 |
| 1174137947 | Jordan Lian Davis | Pharmacist | 35 25th St Nw, Cleveland, TN 37311-3830 | 2020-08-31 |
| 1588286496 | Jordan Paige Davis | Psychologist | 1 Park Ave Fl 7, New York, NY 10016-5818 | 2020-05-13 |
| 1265088371 | Jordan Davis | Specialist/Technologist | 225 N 7th St, Bismarck, ND 58501-4417 | 2019-08-14 |
| 1821640087 | Jordan Davis | Counselor | 357 Kansas Ave Se, Huron, SD 57350-2517 | 2019-07-09 |
| 1588225262 | Jordan Davis | Pharmacist | 3250 S Eagle Rd, Meridian, ID 83642-7018 | 2019-06-24 |
| 1457821522 | Jordan Davis | Marriage & Family Therapist | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2018-11-30 |
| Street Address |
1223 CIBECUE CIR |
| City | SAN CARLOS |
| State | AZ |
| Zip Code | 85550-0208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821586686 | San Carlos Apache Tribe | Community/Behavioral Health | San Carlos Social Services, 7 San Carlos Avenue, San Carlos, AZ 85550 | 2018-04-27 |
| 1568871762 | Aleksandra J Slaski | Counselor | Building 5 San Carlos Avenue, San Carlos, AZ 85550 | 2014-08-13 |
| 1619237377 | Justin Scott Phelps | Psychologist | 5 San Carlos Blvd., San Carlos, AZ 85550 | 2012-05-29 |
| 1669752622 | Sasha Melisa Latonis | Pharmacist | 208 Cibecue Cir, San Carlos, AZ 85550 | 2011-08-23 |
| 1699060343 | Paul Ray Delgado | Pharmacist | 208 Cibique Circle, San Carlos, AZ 85550 | 2011-06-10 |
| 1639481815 | Carlos Duarte | Family Medicine | 1 Vassar Dr Ne, Usphs Indian Hospital, San Carlos, AZ 85550 | 2010-07-05 |
| 1225355290 | Robert Reed Henley | Psychologist | 5 San Carlos Avenue, San Carlos, AZ 85550 | 2010-04-29 |
| 1912234576 | John Paul Hartman | Naturopath | 238 Seneca, San Carlos, AZ 85550 | 2009-11-03 |
| 1609015148 | Pamela Kay Kloote | Pharmacist | 208 Cibeque Circle, San Carlos, AZ 85550 | 2009-02-06 |
| 1689868317 | Jacqueline Ann Tutt | Licensed Practical Nurse | Skill Center Rd., San Carlos, AZ 85550 | 2007-09-06 |
| Find all providers in zip 85550 | ||||
| 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 |
|---|---|---|---|---|
| 1770093858 | Robin Anne Brandos | Pharmacist | 435 Walnut St Apt 14, San Carlos, CA 94070-2306 | 2017-10-03 |
| 1750744603 | Ji Yei Kim | Pharmacist | 1160 Industrial Rd, Suite 17, San Carlos, CA 94070-4124 | 2016-03-29 |
| 1669752622 | Sasha Melisa Latonis | Pharmacist | 208 Cibecue Cir, San Carlos, AZ 85550 | 2011-08-23 |
| 1699060343 | Paul Ray Delgado | Pharmacist | 208 Cibique Circle, San Carlos, AZ 85550 | 2011-06-10 |
| 1609015148 | Pamela Kay Kloote | Pharmacist | 208 Cibeque Circle, San Carlos, AZ 85550 | 2009-02-06 |
| 1750572251 | William Thomas Park | Pharmacist | 101 Cibeque Circle, San Carlos, AZ 85550 | 2007-08-08 |
| 1003933367 | Tara Lynn Argual | Pharmacist | Cibecue Circle, San Carlos, AZ 85550-2808 | 2007-03-23 |
| 1063543569 | Sean Rohloff | Pharmacist | 223 Cibeque Circle, San Carlos, AZ 85550 | 2007-03-08 |
| 1578693933 | Sunil I Patel | Pharmacist | 1 Cibicule Drive, San Carlos, AZ 85551 | 2007-03-06 |
| 1417569849 | Tiffany Tran | Pharmacist | 1414 El Camino Real, San Carlos, CA 94070-5102 | 2020-08-18 |
| Find all providers in SAN CARLOS | ||||
| City | SAN CARLOS |
| Zip Code | 85550 |
Please comment or provide details below to improve the information on JORDAN CLARK DAVIS.
| 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.