JORDAN COTTAM (NPI# 1972998771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972998771 |
| Entity Type | Individual |
| Full Name | JORDAN COTTAM |
| Credential | PHARMD |
| Practice Address |
1515 W Aloe Vera Dr Phoenix AZ 85085-9032 |
| Practice Telephone | 6236700179 |
| Mailing Telephone | 6236700179 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
RP00007903 | NM | Pharmacy Service Providers |
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
S015506 | AZ | Pharmacy Service Providers |
| Street Address |
1515 W ALOE VERA DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85085-9032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748369 | Nicole Fountain | Speech-Language Pathologist | 25700 N. 21st Avenue, Phoenix, AZ 85085 | 2020-07-24 |
| 1083138010 | Larry Leforte II | Emergency Medical Technician, Paramedic | 2018 W Blaylock Dr, Phoenix, AZ 85085 | 2017-08-01 |
| 1508318809 | Jennifer Falk | Chiropractor | 1614 W Whispering Wind Dr Ste 3, Phoenix, AZ 85085 | 2016-11-03 |
| 1053785964 | Cvs Pharmacy | Pharmacy | 28635 N North Vally Parkway, Phoenix, AZ 85085 | 2015-11-17 |
| 1417329897 | Kelly Criswell | Registered Nurse | 32150 N North Foothills Dr, Phoenix, AZ 85085 | 2015-10-26 |
| 1417333717 | Kristi Everett | Social Worker | 34225 N 27th Dr Bldg 5 Ste 146, Phoenix, AZ 85085 | 2015-08-10 |
| 1063849834 | Albertsons Pharmacy | Pharmacist | 2406 W Bramble Berry Ln, Phoenix, AZ 85085 | 2013-10-10 |
| 1427354851 | Carolyn Berg Newsome | Marriage & Family Therapist | 2060 W.whispering Wind Drive, Phoenix, AZ 85085 | 2011-02-02 |
| 1518273127 | Jamie Lynn Born | Social Worker | 34406 N 27th Dr Bldg 6, Phoenix, AZ 85085 | 2010-08-20 |
| 1023347218 | Lise Flores-reed | Psychologist | 34225 N. 27th Drive #110, Phoenix, AZ 85085 | 2009-12-17 |
| Find all providers in zip 85085 | ||||
| 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 |
|---|---|---|---|---|
| 1003425000 | David M Hoehn | Pharmacist | 3413 W Donatello Dr, Phoenix, AZ 85086-2290 | 2020-07-24 |
| 1821422395 | Donna Marie Faber | Pharmacist | 650 E Indian School Rd # 119, Phoenix, AZ 85012-1839 | 2013-09-02 |
| 1295946606 | Julie M Lehn | Pharmacist | 1111 East Mcdowell Road, Phoenix, AZ 85006-2612 | 2007-05-25 |
| 1912122185 | Joshua Russell Rolin | Pharmacist | 1800 E Van Buren St Ste 501, Phoenix, AZ 85006-3742 | 2007-04-14 |
| 1679695035 | James Anders Peterson | Pharmacist | 5203 E Coronado Circle, Phoenix, AZ 85044-2336 | 2007-04-05 |
| 1063508513 | Bhailal M Shah | Pharmacist | 925 E Mcdowell, 3rd Floor, Phoenix, AZ 85006 | 2006-10-04 |
| 1235243478 | Amanda Elizabeth Huels | Pharmacist | 650 E. Indian School Rd, Phoenix, AZ 85012 | 2006-08-17 |
| 1386757078 | Anthony M Webber | Pharmacist | 650 E Indian School Rd (119), Phoenix, AZ 85012 | 2006-08-16 |
| 1447718192 | Jason Peters | Pharmacist | 1645 E Roosevelt St, Phoenix, AZ 85006-3638 | 2019-03-12 |
| 1861939761 | Bradley Ordener | Pharmacist | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2017-01-30 |
| Find all providers in PHOENIX | ||||
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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.