JORDAN RENAUD (NPI# 1467818799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467818799 |
| Entity Type | Individual |
| Full Name | JORDAN RENAUD |
| Practice Address |
2022 E Spring St New Albany IN 47150-1665 |
| Mailing Address |
11838 Capital Way Louisville KY 40299-6332 |
| Practice Telephone | 8129490641 |
| Mailing Telephone | 5022617115 |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2015-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 018228 | KY | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 26026424A | IN | Pharmacy Service Providers |
| Street Address |
2022 E SPRING ST |
| City | NEW ALBANY |
| State | IN |
| Zip Code | 47150-1665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730470410 | Travis Wayland Jones | Pharmacist | 2022 E Spring St, New Albany, IN 47150-1665 | 2011-04-28 |
| 1801310412 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2022 E Spring St, New Albany, IN 47150 | 2017-07-26 |
| 1598057598 | Kefah Ahmad Khalil | Pharmacist | 2022 E Spring St, New Albany, IN 47150-1665 | 2011-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385050 | Essential Pediatrics | Physical Therapist | 1614 Slate Run Road, New Albany, IN 47150 | 2020-01-10 |
| 1871075234 | Katie Lyn Vincent | Speech-Language Pathologist | 845 Park Place, New Albany, IN 47150 | 2018-09-02 |
| 1326528811 | Donna Casey Laduke | Respiratory Therapist, Registered | Baptist Health Floyd, 1850 State Street, New Albany, IN 47150 | 2018-08-15 |
| 1003307232 | Shelby Paige Buffin | Social Worker | 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 | 2018-05-23 |
| 1104315902 | Whitney Nicole Malloy | Physician Assistant | 2108 State Street, New Albany, IN 47150 | 2018-05-07 |
| 1942728472 | Cleanse Clinic Jeffersonville LLC | Psychiatry & Neurology | 2818 Grant Line Rd Ste 2, New Albany, IN 47150 | 2017-09-05 |
| 1881110765 | Kristy Marie Delaney | Social Worker | 1144 Creekview Circle, New Albany, IN 47150 | 2017-08-22 |
| 1891217030 | Sarah H. Wilson | Physician Assistant | 1919 State St Ste 362, New Albany, IN 47150 | 2017-07-10 |
| 1861939290 | Lauren Brenneman Pollock | Audiologist | 3211 Grant Line Rd St. #37, New Albany, IN 47150 | 2017-01-24 |
| 1861850414 | Kiley Madaleno | Speech-Language Pathologist | 4915 Charlestown Road, New Albany, IN 47150 | 2016-02-10 |
| Find all providers in zip 47150 | ||||
| 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 |
|---|---|---|---|---|
| 1427657592 | Bradford Keith Goodwin | Pharmacist | 225 Hwy 30 W, New Albany, MS 38652 | 2020-10-20 |
| 1811403439 | Brianna Combs | Pharmacist | 2202 E Spring St, New Albany, IN 47150-1563 | 2017-12-19 |
| 1003322785 | Frank Anthony Micchia IIi | Pharmacist | 5161 Hampsted Village Way, New Albany, OH 43054 | 2017-12-18 |
| 1093228553 | Warren Pharmacy Enterprise, LLC | Pharmacist | 140 Fairfield Dr, New Albany, MS 38652 | 2017-11-07 |
| 1649798877 | Mary Ray Craig | Pharmacist | Fred's Pharmacy 126 W. Main St., New Albany, MS 38652 | 2017-09-08 |
| 1942671649 | Anita Solomon | Pharmacist | 3210 Hadleigh Pl, New Albany, IN 47150-9465 | 2015-10-07 |
| 1740656859 | Jana Brightwell | Pharmacist | 2125 State St Ste 17, New Albany, IN 47150-4972 | 2015-08-12 |
| 1669889309 | Amy Jones | Pharmacist | 4222 Charlestown Road, New Albany, IN 47150 | 2014-07-15 |
| 1730505108 | Bernard Bury Sr. | Pharmacist | 1170 Kames Way Dr, New Albany, OH 43054-9561 | 2014-03-10 |
| 1942555792 | Mark Edward Court | Pharmacist | 1945 State St, New Albany, IN 47150-4919 | 2012-07-18 |
| Find all providers in NEW ALBANY | ||||
| City | NEW ALBANY |
| Zip Code | 47150 |
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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.