JORDAN PHARMACY INC (NPI# 1578660411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578660411 |
| Entity Type | Organization |
| Organization Name | JORDAN PHARMACY INC |
| Other Organization Name | JORDAN PHARMACY |
| Practice Address |
107 N Rice St Hamilton TX 76531-1857 |
| Practice Telephone | 2543863111 |
| Practice Fax Number | 2543868844 |
| Mailing Telephone | 2543863111 |
| Mailing Fax Number | 2543868844 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-04-14 |
| Authorized Official Name | JAN PATTILLO (OWNER) |
| Authorized Official Telephone | 2543863111 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
21958 | TX | Suppliers |
| N | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2096994 | 01 | |
| TX | 0145199 | 05 |
| Other Name | Type Code |
|---|---|
| JORDAN PHARMACY | Doing Business As Name - Organization |
| Street Address |
107 N RICE ST |
| City | HAMILTON |
| State | TX |
| Zip Code | 76531-1857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972159614 | Jan Holley Pattillo | Pharmacist | 107 N Rice St, Hamilton, TX 76531-1857 | 2019-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659621266 | Krista Marie Lindley | Dietitian, Registered | 400 N Brown Avenue, Hamilton, TX 76531 | 2012-09-12 |
| 1134328396 | Hamilton Ridge Operations, LLC | Skilled Nursing Facility | 1315 E. State Highway 22, Hamilton, TX 76531 | 2007-07-17 |
| 1417078254 | Hamilton Isd | Local Education Agency (LEA) | 400 S. College Street, Hamilton, TX 76531 | 2007-04-02 |
| 1386764421 | Arlene E Brown | Nurse Practitioner | 400 North Brown Street, Building 2, Hamilton, TX 76531 | 2007-03-30 |
| 1164582706 | Family Practice Associates of Hamilton Co Pa | Family Medicine | 400 N Brown, Hamilton, TX 76531 | 2006-12-12 |
| 1689732828 | Amy M Williams | Specialist | 615 E Main, Hamilton, TX 76531 | 2006-12-04 |
| 1083725113 | Sara Elizabeth Ensor | Chiropractor | 555 N Rice, Hamilton, TX 76531 | 2006-08-31 |
| 1841704152 | Hamilton County Hospital District | Assisted Living Facility | 1315 E State Highway 22, Hamilton, TX 76531 | 2017-11-22 |
| 1871684241 | William Lamonte Ford | Dentist | 310 E Main St, Hamilton, TX 76531 | 2006-09-28 |
| 1366500696 | Jerry W Zschiesche | Dentist | 131 St Hwy 22 East, Hamilton, TX 76531-0669 | 2006-12-06 |
| Find all providers in zip 76531 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1205982675 | Hamilton Pharmacy and Medical Company Inc. | Pharmacy | 1060 Whitehorse Mercerville Rd, Alexanders Twin Pharmacy, Hamilton, NJ 08610-1425 | 2007-01-26 |
| 1912067612 | Northwest Health Services, Inc. | Pharmacy | 103 E. Cross Street, Hamilton, MO 64644-0156 | 2006-12-11 |
| 1225100746 | Clark's Discount Pharmacy | Pharmacy | 1261 Military Street South, Hamilton, AL 35570 | 2006-11-14 |
| 1396827705 | Wuis Value Drugs, Inc | Pharmacy | 3416 M-40, Hamilton, MI 49419-9512 | 2006-10-19 |
| 1043302649 | New Jersey Cvs Pharmacy LLC | Pharmacy | 2147 Hamilton Ave, Hamilton, NJ 08619-3610 | 2006-09-29 |
| 1013010834 | New Jersey Cvs Pharmacy, L.L.C. | Pharmacy | 200 Highway 33, Hamilton, NJ 08619-2542 | 2006-09-07 |
| 1427151125 | Ohio Cvs Stores LLC | Pharmacy | 28 N Brookwood Ave, Hamilton, OH 45013-1210 | 2006-09-07 |
| Find all providers in HAMILTON | ||||
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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.