JORDAN DEANGELIS (NPI# 1649816414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649816414 |
| Entity Type | Individual |
| Full Name | JORDAN DEANGELIS |
| Credential | PHARMD |
| Practice Address |
2301 Erwin Rd Durham NC 27705-4699 |
| Practice Telephone | 9196812241 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
27222 | NC | Pharmacy Service Providers |
| Street Address |
2301 ERWIN RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-4699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326045857 | Duke University Health System, Inc. | Psychiatric Unit | 2301 Erwin Rd, Durham, NC 27705-4699 | 2005-06-30 |
| 1669073854 | Courtney Whitmore Jensen | Genetic Counselor, MS | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-11-04 |
| 1114528429 | Nicholas Tricarico | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-11-03 |
| 1164021788 | Wen Chian Ouyang | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-10-23 |
| 1447857529 | Christopher O'neal Fry | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-10-02 |
| 1932706140 | Ariane Cook | Physician Assistant | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-10-01 |
| 1801403795 | Shannon Marie Vannasane | Anesthesiology | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-25 |
| 1396352233 | Olivia Delpizzo | Registered Nurse | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-24 |
| 1619583051 | Colin Sauter | Physical Therapist | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-21 |
| 1962017111 | Anna Bueton | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457980831 | Ashley Elizabeth Henson Mcknight | Pharmacist | 508 Fulton St Dept 119, Durham, NC 27705-3875 | 2020-04-07 |
| 1417253923 | Christopher Brock Woodis | Pharmacist | Duke Family Medicine, 2100 Erwin Road, Box 3886, Durham, NC 27710-0001 | 2011-01-31 |
| 1558510297 | Vera Farkas Reinstein | Pharmacist | Dumc 104425, Durham, NC 27710-0001 | 2008-09-18 |
| 1912114588 | Philip T Rodgers | Pharmacist | 3089 Dumc, Duke University Medical Center, Durham, NC 27710-0001 | 2007-05-16 |
| 1265427389 | Melanie Lewis Evans | Pharmacist | 4022 Stirrup Creek Dr, Ste 325, Durham, NC 27703-9411 | 2005-09-14 |
| 1326589144 | Tracie R Rothrock-christian | Pharmacist | 508 Fulton St, Pharmacy Service (119), Durham, NC 27705-3875 | 2017-03-13 |
| 1295279479 | Mohamed Hashem | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2016-12-07 |
| 1275992901 | Juliana Elizabeth Lipetzky | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2016-02-23 |
| 1801944103 | Ndibulum Hazel Richardson | Pharmacist | 1301 Fayetteville St, Pharmacy Department, Durham, NC 27707-2325 | 2007-01-05 |
| 1942374285 | Kristen Bova Campbell | Pharmacist | Duke University Hospital, Dumc 3089, Durham, NC 27710-0001 | 2006-11-20 |
| Find all providers in DURHAM | ||||
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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.