MR. MICHAEL JORDAN (NPI# 1104470848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104470848 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL JORDAN |
| Credential | PHARM D |
| Practice Address |
1485 Harrison Blvd Ogden UT 84404-6093 |
| Practice Telephone | 8016210211 |
| Practice Fax Number | 8013946370 |
| Mailing Telephone | 8016210211 |
| Mailing Fax Number | 8013946370 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 8287265-1701 | UT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861889776 | Michael Andrew Jordan | Ophthalmology | 825 Nicollet Mall Ste 2000, Minneapolis, MN 55402-2708 | 2015-04-17 |
| 1629493275 | Michael Jordan | Preventive Medicine | 2 Stone Gate Ct, Setauket, NY 11733-1346 | 2014-02-19 |
| 1134469448 | Michael Jack Jordan | Counselor | 1418 Lindale Ave, Norman, OK 73069-4423 | 2013-02-22 |
| 1598971723 | Michael Wayne Jordan | Psychiatry & Neurology | 3116 S Mill Ave, #605, Tempe, AZ 85282-3657 | 2007-05-15 |
| 1932283025 | Michael Thomas Jordan | Physician Assistant | Seminole Blvd, St. Petersburg, FL 33744 | 2006-10-25 |
| 1588755862 | Michael Arthur Jordan | Optometrist | 3063 Dauphin St, Mobile, AL 36606-4040 | 2006-09-28 |
| 1205816840 | Michael Couzens Jordan | Pediatrics | 4150 Woodlands Pkwy, Suite B, Palm Harbor, FL 34685-3495 | 2006-01-19 |
| 1376103986 | Michael K Jordan | Behavior Technician | 16200 19 Mile Rd, Clinton Twp, MI 48038-1103 | 2019-06-17 |
| 1699244418 | Michael D Jordan | Case Manager/Care Coordinator | 124 Carmen Ln Ste A, Santa Maria, CA 93458-7768 | 2018-11-21 |
| 1063994846 | Michael Jordan | Occupational Therapy Assistant | 1414 College St, Sulphur Springs, TX 75482-3431 | 2018-08-29 |
| Street Address |
1485 HARRISON BLVD |
| City | OGDEN |
| State | UT |
| Zip Code | 84404-6093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942225578 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 1485 Harrison Blvd, Ogden, UT 84404-6093 | 2006-07-13 |
| 1225599665 | Matthew Egan | Pharmacist | 1485 Harrison Blvd, Ogden, UT 84404-6093 | 2019-03-28 |
| 1558738310 | Bryan Walker | Pharmacist | 1485 Harrison Blvd, Ogden, UT 84404-6093 | 2015-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881159648 | Bingham Marriage & Family Counseling | Counselor | 1812 W 2000 N #1, Ogden, UT 84404 | 2019-02-06 |
| 1609362094 | Hoopes Dental | Dentist | 333 2nd St. Suite 1a, Ogden, UT 84404 | 2018-07-09 |
| 1497241384 | Alysia Cohen | Specialist/Technologist | 1527 9th Street, Ogden, UT 84404 | 2018-07-03 |
| 1235648049 | Walk Perfect, Inc. | Podiatrist | 1069 S. Stewart Dr, Suite 1, Ogden, UT 84404 | 2017-09-25 |
| 1043738602 | Veronica Skidmore | Specialist/Technologist | 3848 Harrison Blvd., Ogden, UT 84404 | 2017-09-05 |
| 1134645526 | Pco-kta, LLC | Pharmacy | 3673 West 2600 North, Plain City, UT 84404 | 2017-08-17 |
| 1568899227 | Alisa Roberts | Marriage & Family Therapist | 1181 Christmas Box Lane, Ogden, UT 84404 | 2013-09-26 |
| 1366796351 | Kenneth Andrew Boothe | Chiropractor | 1920 North 250 West, Suite 24, Ogden, UT 84404 | 2012-10-30 |
| 1760730659 | Mercury Medical LLC | Durable Medical Equipment & Medical Supplies | 3385 W 2525 N, Plain City, UT 84404 | 2012-08-27 |
| 1700131471 | Tina Middleton | Massage Therapist | 1700w 2700n, # 37, Pleasant View, UT 84404 | 2012-07-19 |
| Find all providers in zip 84404 | ||||
| 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 |
|---|---|---|---|---|
| 1790348597 | Sarah Iannacone | Pharmacist | 4421 Harrison Blvd Ste A12, Ogden, UT 84403-3174 | 2019-04-17 |
| 1992368047 | Megan Renee Stephens | Pharmacist | 4401 Harrison Blvd Ste 1620, Ogden, UT 84403-3195 | 2019-04-15 |
| 1205266376 | Kevin Raleigh | Pharmacist | 741 Ogden Ave, Ogden, UT 84404-4907 | 2013-11-26 |
| 1992097513 | Bryan Taylor | Pharmacist | 142 N Harrisville Rd, Ogden, UT 84404-3928 | 2011-05-15 |
| 1770891533 | Joey V Chase | Pharmacist | 851 24th St, Ogden, UT 84401-2601 | 2010-09-15 |
| 1063608099 | Patricia L. Swanson | Pharmacist | 305 W Walnut St, Ogden, IA 50212-3048 | 2007-09-24 |
| 1164638318 | Kim Carlson Moore | Pharmacist | Harmon's Pharmacy, 37 Harrisville Road, Ogden, UT 84404 | 2007-05-15 |
| 1093934549 | Tad Michael Tomlinson | Pharmacist | 120 N Washington Blvd, Ogden, UT 84404-3937 | 2007-04-24 |
| 1619195542 | Charlotte Erin Wagner | Pharmacist | 2469 Woodland Dr, Ogden, UT 84403-5119 | 2007-04-23 |
| 1831235746 | John Leroy Shaw | Pharmacist | 37 Harrisville Road, Ogden, UT 84404 | 2007-01-29 |
| Find all providers in OGDEN | ||||
Please comment or provide details below to improve the information on MR. MICHAEL JORDAN.
| 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.