GARY M JORDAN (NPI# 1477731255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477731255 |
| Entity Type | Individual |
| Full Name | GARY M JORDAN |
| Credential | RPH |
| Practice Address |
294 Middle Country Rd Coram NY 11727-4428 |
| Practice Telephone | 6317365168 |
| Practice Fax Number | 6317365733 |
| Mailing Telephone | 6317365168 |
| Mailing Fax Number | 6317365733 |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2012-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 030503-1 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942710900 | Gary Jordan | Rehabilitation Practitioner | 3031 S Vermont Ave, Los Angeles, CA 90007-3033 | 2017-10-04 |
| 1790227957 | Gary M Jordan | Psychologist | 7272 Wurzbach Rd, Suite 706, San Antonio, TX 78240-4801 | 2016-11-04 |
| 1316299183 | Gary Lee Jordan | Occupational Therapy Assistant | 303 N Hurstbourne Pkwy, Suite 200, Louisville, KY 40222-5185 | 2012-10-03 |
| 1013140250 | Gary Paul Jordan | Pharmacist | 109 Kerr Ave, Poteau, OK 74953-5270 | 2009-09-03 |
| 1134344195 | Gary Alan Jordan | Emergency Medicine | 597 S Enota Dr Ne, Gainesville, GA 30501-2545 | 2007-04-16 |
| 1659431146 | Gary Charles Jordan | Internal Medicine | 360 Brockton Ave, Abington, MA 02351-2186 | 2006-12-12 |
| Street Address |
294 MIDDLE COUNTRY RD |
| City | CORAM |
| State | NY |
| Zip Code | 11727-4428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932131893 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 294 Middle Country Rd, Coram, NY 11727-4428 | 2006-07-07 |
| 1881916070 | Teena Koshy | Pharmacist | 294 Middle Country Rd, Coram, NY 11727-4428 | 2010-02-16 |
| 1588996482 | Nilpuar Rahman | Pharmacist | 294 Middle Country Rd, Coram, NY 11727-4428 | 2010-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649891490 | Ocean Acupuncture PC | Acupuncturist | 1970-6, Coram, NY 11727 | 2020-05-04 |
| 1982254058 | Lynanne Helen Bopp | Student in an Organized Health Care Education/Training Program | 3600 Ny- 112, Coram, NY 11727 | 2019-09-19 |
| 1427604206 | Embrace Your Energy, LLC | Specialist/Technologist | 300 Wincoram Way, Coram, NY 11727 | 2019-08-16 |
| 1457842247 | Hina Ghani | Pharmacist | 1710 Ny-112, Coram, NY 11727 | 2018-05-29 |
| 1093219636 | James Brian Rochford Jr. | Social Worker | 1980 Ny Route 112, Coram, NY 11727 | 2018-03-20 |
| 1902324502 | Shanell Lovette Woodley | Registered Nurse | Country Club Drive, Apt 10 D, Coram, NY 11727 | 2017-09-03 |
| 1730606377 | Emani, Inc. | Respite Care | 5 Hagen Ct., Coram, NY 11727 | 2017-08-24 |
| 1124553292 | Zhimin Lin | Dentist | 1879 Ny-112, Coram, NY 11727 | 2017-04-26 |
| 1780125286 | Jennifer Zielinski | Specialist | 18 Cammann Road, Coram, NY 11727 | 2017-03-16 |
| 1194271486 | Kimberly Kowalczyk | Psychologist | 28 Hawkins Path, Coram, NY 11727 | 2016-08-28 |
| Find all providers in zip 11727 | ||||
| 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 |
|---|---|---|---|---|
| 1457842247 | Hina Ghani | Pharmacist | 1710 Ny-112, Coram, NY 11727 | 2018-05-29 |
| 1174913909 | Hoda Hamza | Pharmacist | 535 Charles Pond Dr, Coram, NY 11727-3750 | 2015-02-02 |
| 1023435096 | Brian Amzler | Pharmacist | 1104 Avalon Pines Dr, Coram, NY 11727-5136 | 2014-03-27 |
| 1124329644 | Katie Linh Mai | Pharmacist | 16 Denver Ct, Coram, NY 11727-1504 | 2010-11-15 |
| 1861650723 | Nayyar U Imam | Pharmacist | 3663 Route 112, Ste 1, Coram, NY 11727-4130 | 2008-05-28 |
| 1760662837 | Shaista Bashir | Pharmacist | 3 Camp Fire Ln, Coram, NY 11727-2929 | 2007-11-06 |
| 1538348461 | James Bloodgood | Pharmacist | 35 Middle Country Rd Ste H, Coram, NY 11727-4478 | 2007-10-28 |
| 1679044556 | Eesha Khan | Pharmacist | 1710 Route 112, Coram, NY 11727-2229 | 2018-12-17 |
| 1417273335 | Howard B Bowe | Pharmacist | 3663 Route 112, Coram, NY 11727-4130 | 2010-04-16 |
| 1881916070 | Teena Koshy | Pharmacist | 294 Middle Country Rd, Coram, NY 11727-4428 | 2010-02-16 |
| Find all providers in CORAM | ||||
Please comment or provide details below to improve the information on GARY M JORDAN.
| 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.