JORDAN TYLER DEBOER (NPI# 1891342614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891342614 |
| Entity Type | Individual |
| Full Name | JORDAN TYLER DEBOER |
| Practice Address |
5005 E 56th St Indianapolis IN 46226-1401 |
| Mailing Address |
2405 N Delaware St Indianapolis IN 46205-4353 |
| Practice Telephone | 3172548921 |
| Mailing Telephone | 7654327521 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26022230A | IN | Pharmacy Service Providers |
| Street Address |
5005 E 56TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46226-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740383454 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 5005 E 56th St, Indianapolis, IN 46226 | 2006-09-07 |
| 1851948624 | Allison Brock | Pharmacist | 5005 E 56th St, Indianapolis, IN 46226-1401 | 2019-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053771972 | Iman Emami Ghafari | Chiropractor | 4082 Pendelton Way, Indianapolis, IN 46226 | 2016-03-04 |
| 1649649039 | Tindley Accelerated Schools | Local Education Agency (LEA) | 4625 Arlington Avenue, Indianapolis, IN 46226 | 2015-09-16 |
| 1801146261 | Strength Renewed Counseling Services | Social Worker | 5660 Caito Drive, Suite 122, Indianapolis, IN 46226 | 2012-09-13 |
| 1114122447 | Monica Beasley | Nurse's Aide | 835 Belhaven Place Apt. #3, Indianapolis, IN 46226 | 2007-06-18 |
| 1558413682 | Denise Lynne Schnell | Nurse Practitioner | 5259 N David Street, Laurence Community Wellness Center, Indianapolis, IN 46226 | 2007-01-17 |
| 1245326792 | Lina R Ealy | Specialist | 5856 Cedarstone Court, Indianapolis, IN 46226 | 2006-10-04 |
| 1740373323 | Options Treatment Acquisition Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 5602 Caito Drive, Indianapolis, IN 46226 | 2006-10-02 |
| 1518064823 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 6975 North Pendleton Pike, Indianapolis, IN 46226 | 2006-09-20 |
| 1164516829 | The Health and Hospital Corporation of Marion County | Pharmacy | 3840 N Sherman Dr, Indianapolis, IN 46226 | 2006-10-03 |
| 1205964186 | Karl Lee Manders | Specialist | 5845 High Fall Rd, Indianapolis, IN 46226-1017 | 2007-03-01 |
| Find all providers in zip 46226 | ||||
| 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 |
|---|---|---|---|---|
| 1447851928 | Alicia Helene Wojciechowski | Pharmacist | 5829 N New Jersey St, Indianapolis, IN 46220-2534 | 2020-11-02 |
| 1871194472 | Megan Mccullough | Pharmacist | 10617 East Washington Street, Pharmacy At Walmart, Indianapolis, IN 46222 | 2020-11-02 |
| 1548860802 | Adam Mccoy | Pharmacist | 9240 N Meridian St Ste 140, Indianapolis, IN 46260-2368 | 2020-10-27 |
| 1033716295 | Farah Khan | Pharmacist | 1928 Pamona Dr, Indianapolis, IN 46214-3361 | 2020-10-01 |
| 1760090690 | Kristy Ann Rapes | Pharmacist | 1901 N Senate Blvd # Ag401, Indianapolis, IN 46202-1246 | 2020-07-16 |
| 1306462288 | Katherine Marie Anderson | Pharmacist | 8441 Fairwind Ct, Indianapolis, IN 46256-1544 | 2020-06-17 |
| 1629698352 | Zachary William Howe | Pharmacist | 1701 N Capitol Ave Rm B222, Indianapolis, IN 46202-1203 | 2020-04-22 |
| 1528688603 | Justin Biancardi | Pharmacist | 550 University Blvd # R077, Indianapolis, IN 46202-5149 | 2020-04-20 |
| 1619506953 | Katherine Pola | Pharmacist | 6053 Halfmoon Ln, Indianapolis, IN 46220-4142 | 2020-04-08 |
| 1770120883 | Benjamin Neuenschwander | Pharmacist | 9851 E 59th St, Indianapolis, IN 46216-1124 | 2019-12-09 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46226 |
Please comment or provide details below to improve the information on JORDAN TYLER DEBOER.
| 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.