DR. JORDAN RICHARD WANNER (NPI# 1063978260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063978260 |
| Entity Type | Individual |
| Full Name | DR. JORDAN RICHARD WANNER |
| Credential | PHARMD |
| Practice Address |
4615 Middlebranch Ave Ne Canton OH 44705-2960 |
| Practice Telephone | 3307057107 |
| Mailing Telephone | 3307057107 |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03236378 | OH | Pharmacy Service Providers |
| Street Address |
4615 MIDDLEBRANCH AVE NE |
| City | CANTON |
| State | OH |
| Zip Code | 44705-2960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609395623 | Catherine Dana Tavares | Registered Nurse | 5321 Johnnycake Ridge Ne, Canton, OH 44705 | 2017-09-11 |
| 1790168706 | Vicki T Perrin | Home Health Aide | 3033 Endrow Ave Ne, Canton, OH 44705 | 2015-07-08 |
| 1679066542 | Atlantic Dme LLC | Durable Medical Equipment & Medical Supplies | 3501 Lesh St Ne, Canton, OH 44705 | 2018-06-14 |
| 1982262432 | Ciara A Davenport | Nurse's Aide | 809 Gibbs Ave Ne, Canton, OH 44705-1009 | 2019-05-30 |
| 1952790594 | Ivory Hollamon | Home Health Aide | 1209 Lippert Rd Ne, Canton, OH 44705-1019 | 2015-01-20 |
| 1003842196 | Lana May Butcher | Home Health Aide | 1219 Lippert Rd Ne, Canton, OH 44705-1019 | 2006-06-23 |
| 1124628896 | Asia Annette Everett | Home Health Aide | 918 Rowland Ave Ne, Canton, OH 44705-1064 | 2020-10-30 |
| 1396196267 | Pennie Lynn Mathewson | Student in an Organized Health Care Education/Training Program | 1309 Lawrence Rd Ne, Canton, OH 44705-1102 | 2016-06-22 |
| 1043861982 | Ravon L. Wise | Home Health Aide | 1130 12th St Ne, Canton, OH 44705-1120 | 2019-09-23 |
| 1518412360 | Angels In Mission | In Home Supportive Care | 1043 Rowland Ave Ne, Canton, OH 44705-1166 | 2016-08-22 |
| Find all providers in zip 44705 | ||||
| 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 |
|---|---|---|---|---|
| 1437750551 | Anamiben R Patel | Pharmacist | 45555 Michigan Ave, Canton, MI 48188-2388 | 2020-11-04 |
| 1467084343 | Syed Ashraf Ali Shah | Pharmacist | 385 Westbourne Ct, Canton, MI 48188-4718 | 2020-02-07 |
| 1427680503 | Gracy Mathai-mathews | Pharmacist | 770 Pheasant Woods Dr, Canton, MI 48188-5224 | 2020-02-06 |
| 1962059378 | Catherine Lynn Denner | Pharmacist | 330 Oak Hill Ln, Canton, GA 30115-5433 | 2019-08-20 |
| 1427601806 | Tarek Mazloum | Pharmacist | 3815 Herbey St, Canton, MI 48188-2421 | 2019-07-24 |
| 1013473925 | Yen Do Ruiz | Pharmacist | 41460 Haggerty Circle South, Canton, MI 48188 | 2019-02-15 |
| 1861972333 | Brittany Carin Yu | Pharmacist | 2512 Tuscarawas St W, Canton, OH 44708-4702 | 2018-08-15 |
| 1598256364 | Austin Tull | Pharmacist | 2260 Holly Springs Pkwy Ste 180, Canton, GA 30115-9580 | 2018-05-28 |
| 1518491513 | Jerry Sherwin Vidis | Pharmacist | 41092 Northwind Dr, Canton, MI 48188-3115 | 2017-04-17 |
| 1891233060 | John Todd Barrett | Pharmacist | 152 Watford Park Way Dr Ste 202, Canton, MS 39046-7900 | 2017-02-07 |
| Find all providers in CANTON | ||||
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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.