DR. JORDAN B ADAMS (NPI# 1083741243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083741243 |
| Entity Type | Individual |
| Full Name | DR. JORDAN B ADAMS |
| Credential | PHARMD |
| Practice Address |
1745 W Broadway St Idaho Falls ID 83402-3045 |
| Mailing Address |
350 Moonlite Dr Apt 2 Idaho Falls ID 83402-2378 |
| Practice Telephone | 2085244480 |
| Practice Fax Number | 2085226101 |
| Mailing Telephone | 2085521006 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P5999 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487197133 | Jordan Adams | Student in an Organized Health Care Education/Training Program | 1260 Channel Park Sw, Marietta, GA 30064-3823 | 2016-11-29 |
| 1174974901 | Jordan Adams | Massage Therapist | 601 E Alexander St Ste 625, Plant City, FL 33563-7126 | 2016-06-22 |
| 1912347535 | Jordan A Adams | Physical Therapist | 10020 Indiana Ave Ste 4, Riverside, CA 92503-5479 | 2013-06-27 |
| 1912401464 | Jordan Adams | Counselor | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2018-03-20 |
| 1053812248 | Jordan Adams | Behavior Technician | 21505 N 78th Ave, Peoria, AZ 85382-3356 | 2018-02-23 |
| 1184131708 | Jordan Marie Adams | Chiropractor | 12740 Hillcrest Rd Ste 138, Dallas, TX 75230-2003 | 2018-01-04 |
| 1104365394 | Jordan Adams | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2017-02-21 |
| 1871039958 | Jordan Blake Adams | Behavioral Analyst | 751 Camino Plz, Suite A, San Bruno, CA 94066-3401 | 2017-01-12 |
| 1881075570 | Jordan Blake Adams | Family Medicine | 3611 Pelham Rd, Greenville, SC 29615-5002 | 2015-06-18 |
| Street Address |
1745 W BROADWAY ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83402-3045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346417003 | Joseph Michael Brown | Pharmacist | 1745 W Broadway St, Idaho Falls, ID 83402-3045 | 2008-05-13 |
| 1366630436 | Rite Aid | Pharmacy | 1745 W Broadway St, Idaho Falls, ID 83402-3045 | 2007-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
| 1265041479 | Fresenius Medical Care Snake River | Clinic/Center | 3195 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-24 |
| 1295352391 | Fresenius Medical Care Idaho Falls, LLC | Clinic/Center | 3193 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-06 |
| 1952923765 | Sterling Provider Group | Clinic/Center | 7017 Daisy Lane, Idaho Falls, ID 83402 | 2020-05-14 |
| 1528604188 | Leslie Hendrian | Massage Therapist | 86 N Kaylee Circle, Idaho Falls, ID 83402 | 2019-11-19 |
| 1154966760 | Christine Nicole Cardona | Counselor | 855 N. Captital Ave Ste 1, Idaho Falls, ID 83402 | 2019-11-07 |
| 1750847786 | Brandi S Warnke | Social Worker | 254 E Street, Suite B, Idaho Falls, ID 83402 | 2019-02-14 |
| 1013402809 | Kailey Lynn Moore | Pharmacist | 376 West 18th Street, Idaho Falls, ID 83402 | 2018-06-25 |
| 1407368616 | Jessica Owsley | Social Worker | 2275 W Broadway Ste G, Idaho Falls, ID 83402 | 2017-10-27 |
| 1427419886 | Becky Allen | Developmental Therapist | 150 Shoupe Ave, Idaho Falls, ID 83402 | 2016-03-14 |
| Find all providers in zip 83402 | ||||
| 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 |
|---|---|---|---|---|
| 1013402809 | Kailey Lynn Moore | Pharmacist | 376 West 18th Street, Idaho Falls, ID 83402 | 2018-06-25 |
| 1043701931 | Stacy Short | Pharmacist | 380 Spyglass Cir, Idaho Falls, ID 83401-6334 | 2018-05-25 |
| 1942735816 | Adam Simmons | Pharmacist | 177 W Woodhaven Ln, Idaho Falls, ID 83404-8429 | 2017-04-27 |
| 1639570302 | Brecon Powell | Pharmacist | 2460 Prospect Dr, Idaho Falls, ID 83401-5078 | 2014-09-11 |
| 1104193796 | Andrew Anthony Voltura | Pharmacist | 1850 W Broadway St, Idaho Falls, ID 83402-3044 | 2011-11-26 |
| 1558658468 | Nathan Myers | Pharmacist | 1901 South 2500 East, Idaho Falls, ID 83406 | 2011-06-30 |
| 1992097000 | Karl W Hearne | Pharmacist | 400 S Woodruff Ave, Idaho Falls, ID 83401-4367 | 2011-05-07 |
| 1518151018 | Brad Berry | Pharmacist | 1790 Deer Valley Dr, Idaho Falls, ID 83401-6800 | 2007-08-28 |
| 1467517201 | Neil Tetsuo Komoda | Pharmacist | 2425 Channing Way, Idaho Falls, ID 83404-8059 | 2006-12-22 |
| 1568578730 | Frank Gerald Egbert | Pharmacist | 3185 Amherst Cir, Idaho Falls, ID 83404-8319 | 2006-08-21 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83402 |
Please comment or provide details below to improve the information on DR. JORDAN B ADAMS.
| 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.