DR. JORDAN CARRILLO (NPI# 1457854622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457854622 |
| Entity Type | Individual |
| Full Name | DR. JORDAN CARRILLO |
| Practice Address |
640 Jake Alexander Blvd W Salisbury NC 28147-1367 |
| Mailing Address |
8524 Mason Andrew Way Apt 2116 Charlotte NC 28216-0267 |
| Practice Telephone | 7046368852 |
| Mailing Telephone | 9802542323 |
| Mailing Fax Number | 9802542323 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 275200 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952934283 | Jordan Carrillo | Physical Therapist | 7777 Warren Pkwy Ste 380, Frisco, TX 75034-6549 | 2020-02-14 |
| Street Address |
640 JAKE ALEXANDER BLVD W |
| City | SALISBURY |
| State | NC |
| Zip Code | 28147-1367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003048034 | Mary Ann Morgan | Pharmacist | 640 Jake Alexander Blvd W, Salisbury, NC 28147-1367 | 2009-08-08 |
| 1710406723 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 640 Jake Alexander Blvd W, Salisbury, NC 28147-1367 | 2017-09-12 |
| 1760909451 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 640 Jake Alexander Blvd W, Salisbury, NC 28147 | 2017-08-24 |
| 1588953574 | Ramona Gretal Brown | Pharmacist | 640 Jake Alexander Blvd W, Salisbury, NC 28147-1367 | 2011-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700397908 | The Young Men's Christian Association of Rowan County, N.c., Inc. | Health Educator | 828 Jake Alexander Blvd., West, Salisbury, NC 28147 | 2017-10-16 |
| 1417490202 | Angels At Heart Assisted Living | PACE Provider Organization | 140 Kent Road, Salisbury, NC 28147 | 2016-11-28 |
| 1780047316 | Lugina Dumas | Counselor | 1100 Litaker Farm Road, Salisbury, NC 28147 | 2016-03-31 |
| 1689054777 | Travis Howell | Occupational Therapist | 548 White Oak Drive, Apt 310, Salisbury, NC 28147 | 2015-06-03 |
| 1790115384 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1361 Klumac Road, Salisbury, NC 28147 | 2013-11-18 |
| 1336499409 | Ashley Elizabeth Jones | Speech-Language Pathologist | 701julian Road, Salisbury, NC 28147 | 2012-09-14 |
| 1730489360 | Shepherd's Home Care | Home Health | 1953 W Jake Alexander Blvd, 2, Salisbury, NC 28147 | 2010-10-29 |
| 1346369006 | Denise Murphy | Occupational Therapist | 548 White Oaks Dr, Salisbury, NC 28147 | 2007-03-27 |
| 1205992203 | Robert N Whitaker Jr Md Pa | Otolaryngology | 330 Jake Alexander Blvd West Suite 101, Salisbury, NC 28147 | 2006-12-28 |
| 1720174162 | Michael Steven Binder | Chiropractor | 2124 Statesville Blvd, Salisbury, NC 28147 | 2006-10-05 |
| Find all providers in zip 28147 | ||||
| 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 |
|---|---|---|---|---|
| 1407455058 | Mary Patricia Hoffman | Pharmacist | 1003 Mount Hermon Rd, Salisbury, MD 21804-5112 | 2020-10-23 |
| 1154954022 | Celedonio Manuel Mendoza | Pharmacist | 107 Stoneybrook Rd, Salisbury, NC 28147-8243 | 2020-02-19 |
| 1457981441 | George Elwood Richardson IIi | Pharmacist | 106 Milford St Ste 401, Salisbury, MD 21804-6964 | 2020-01-19 |
| 1346700614 | David Lawrence Eller | Pharmacist | 911 W Henderson St Ste L20, Salisbury, NC 28144-2706 | 2019-03-22 |
| 1144768227 | Brittany Michele Loy | Pharmacist | 1601 Brenner Ave # 119, Salisbury, NC 28144-2515 | 2017-02-08 |
| 1316311848 | Selorm K Woadzro | Pharmacist | 412 E North Pointe Dr, Apt 233, Salisbury, MD 21804-2336 | 2015-11-20 |
| 1083098487 | Nicole Yvette Smith | Pharmacist | 2110 Executive Dr, Salisbury, NC 28147-9007 | 2015-07-15 |
| 1811380470 | Amakoe Lene Ajavon | Pharmacist | 704 Edgewater Dr, Apt 102, Salisbury, MD 21804-3600 | 2015-03-06 |
| 1578960605 | Avraham Failaev | Pharmacist | 408 E North Pointe Dr, Salisbury, MD 21804-2332 | 2014-12-04 |
| 1659778884 | Camille King | Pharmacist | 215 Milford St, Salisbury, MD 21804-6932 | 2014-12-03 |
| Find all providers in SALISBURY | ||||
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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.