JORDON BAKER ACQUISITIONS, INC. (NPI# 1629534748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629534748 |
| Entity Type | Organization |
| Organization Name | JORDON BAKER ACQUISITIONS, INC. |
| Other Organization Name | ROAN MOUNTAIN PHARMACY |
| Practice Address |
8251 Hwy 19e Roan Mountain TN 37687 |
| Practice Telephone | 4237723591 |
| Practice Fax Number | 4237724596 |
| Mailing Telephone | 4237723591 |
| Mailing Fax Number | 4237724596 |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | MR. JORDON THOMAS BAKER (OWNER/ PRESIDENT) |
| Authorized Official Telephone | 4237723591 |
| Authorized Official Credential | PHARM, D. |
| Is Organization Subpart | Y |
| Parent Organization Name | JORDON BAKER ACQUISITIONS, INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Roan Mountain Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747872 | Jordon Baker Acquisitions, Inc. | Pharmacy | 604 S Hwy 226, Bakersville, NC 28705 | 2020-10-16 |
| 1639112444 | Jordon Baker Acquisitions, Inc. | Pharmacy | 8251 Us Highway 19e, Roan Mountain, TN 37687 | 2006-06-13 |
| Street Address |
8251 HWY 19E |
| City | ROAN MOUNTAIN |
| State | TN |
| Zip Code | 37687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356664908 | Jordon Thomas Baker | Pharmacist | Roan Mountain Pharmacy, 8251 Higwhay 19e, Roan Mountain, TN 37687 | 2010-03-10 |
| 1639112444 | Jordon Baker Acquisitions, Inc. | Pharmacy | 8251 Us Highway 19e, Roan Mountain, TN 37687 | 2006-06-13 |
| 1427032648 | Roan Highlands Medical Investors LLC | Nursing Facility/Intermediate Care Facility | 146 Buck Creek Rd, Roan Mountain, TN 37687 | 2005-12-01 |
| 1952306359 | Marcus D Webb | Nurse Practitioner | 152 Highway 143, Roan Mountain, TN 37687-3002 | 2005-06-14 |
| 1225674856 | Jacob Fred Ramsey | Nurse Practitioner | 152 Highway 143, Roan Mountain, TN 37687-3002 | 2019-11-19 |
| 1710438486 | Emily Faye Benfield | Nurse Practitioner | 152 Highway 143, Roan Mountain, TN 37687-3002 | 2016-10-18 |
| 1033589023 | Natalie Clontz Bateson | Physician Assistant | 152 Highway 143, Roan Mountain, TN 37687-3002 | 2015-10-02 |
| 1467857979 | Jamesia Hicks Harris | Nurse Practitioner | 152 Highway 143, Roan Mountain, TN 37687-3002 | 2014-10-27 |
| 1326453473 | Stacie L Mccray | Registered Nurse | 152 Highway 143, Roan Mountain, TN 37687-3002 | 2014-06-27 |
| 1235447293 | Martha Adkins Felty | Nurse Practitioner | 152 Highway 143, Roan Mountain, TN 37687-3002 | 2010-09-23 |
| Find all providers in zip 37687 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639112444 | Jordon Baker Acquisitions, Inc. | Pharmacy | 8251 Us Highway 19e, Roan Mountain, TN 37687 | 2006-06-13 |
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|---|---|---|---|---|
| 1033718317 | Rockvegas Enterprises Inc Dba Gateway Pharmacy | Pharmacy | 524 N Gateway Ave, Rockwood, TN 37854-2353 | 2020-10-19 |
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| 1548886104 | Tumlin Rx, LLC | Pharmacy | 104 E Main Blvd, Church Hill, TN 37642-3724 | 2020-06-19 |
| 1366065278 | Life Well Pharmacy, LLC | Pharmacy | 2408 Susannah St Ste 3, Johnson City, TN 37601-1765 | 2020-05-27 |
| 1699398602 | Walgreen Co | Pharmacy | 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 | 2020-05-26 |
| 1053931881 | Jones & Joslin, Pllc | Pharmacy | 4249 Highway 411 Ste 5, Madisonville, TN 37354-1544 | 2020-04-22 |
| Find all providers with the same taxonomy | ||||
| City | ROAN MOUNTAIN |
| Zip Code | 37687 |
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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.