JORDAN LANE THOMPSON (NPI# 1710502174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710502174 |
| Entity Type | Individual |
| Full Name | JORDAN LANE THOMPSON |
| Credential | PHARM. D |
| Practice Address |
6313 4th Street Lubbock TX 79416 |
| Mailing Address |
3705 117th St Lubbock TX 79423-0515 |
| Practice Telephone | 8067841515 |
| Mailing Telephone | 4322090346 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 64843 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992174841 | Jordan Thompson | Specialist/Technologist | 203 Lind St, Faribault, MN 55021-6220 | 2015-09-22 |
| 1386251528 | Jordan Thompson | Occupational Therapist | 220 N 1st St, Wheeling, IL 60090-2980 | 2020-09-30 |
| 1063028892 | Jordan Irene Thompson | Pharmacist | 15141 Whittier Blvd Ste 260, Whittier, CA 90603-2175 | 2020-09-17 |
| 1982224093 | Jordan Andrew Thompson | Pharmacist | 1455 E Airport Blvd, Sanford, FL 32773-6818 | 2020-04-18 |
| 1518595685 | Jordan Thompson | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2020-04-01 |
| 1174161889 | Jordan Thompson | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204-1416 | 2019-12-12 |
| 1073070751 | Jordan Kyle Thompson | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2019-02-28 |
| 1750853925 | Jordan Ann Thompson | Behavior Technician | 143 Sugar Mill Cir, Savannah, GA 31419-9431 | 2018-12-27 |
| 1508389743 | Jordan R Thompson | Nurse Practitioner | 2400 17th St, Columbus, IN 47201-5351 | 2017-07-19 |
| 1073049920 | Jordan Thompson | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Ave, Department of Medicine, Mt. Sinai St Lukes-roosevelt, New York, NY 10025-1716 | 2017-05-11 |
| Street Address |
6313 4TH STREET |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531290 | Callie Flores | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821636481 | Chieh-an Chou | Specialist/Technologist | 201 N Winston Ave, Lubbock, TX 79416 | 2019-12-13 |
| 1790341949 | Michael Mcpherson, M.d. P.a. | Internal Medicine | 5406 Colgate St, Lubbock, TX 79416 | 2019-05-14 |
| 1154893675 | South Plains Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5406 Colgate Street, Lubbock, TX 79416 | 2018-12-21 |
| 1932697182 | Timothy Sampana | Student in an Organized Health Care Education/Training Program | 5217 Lehigh St, Lubbock, TX 79416 | 2018-04-24 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1013459809 | Isabel Garcia | Occupational Therapy Assistant | 1717 Northfolk Ave, #a, Lubbock, TX 79416 | 2016-11-09 |
| 1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
| 1902281306 | Carrillon | Clinic/Center | 1717 Norfold Bld A, Lubbock, TX 79416 | 2015-07-27 |
| 1518379791 | Brandon Burris | Specialist/Technologist | 2503 6th Street, Lubbock, TX 79416 | 2014-05-22 |
| Find all providers in zip 79416 | ||||
| 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 |
|---|---|---|---|---|
| 1215538384 | Dustin Tyler Smith | Pharmacist | 3615 19th St # Ms 108, Lubbock, TX 79410-1203 | 2020-11-05 |
| 1811503386 | Rebecca Joann Tally | Pharmacist | 6101 43rd St # Stc, Lubbock, TX 79407-3749 | 2020-09-21 |
| 1710596507 | Thara Mary Issac | Pharmacist | 4510 Ironton Ave Apt 9103, Lubbock, TX 79407-3789 | 2020-07-28 |
| 1033727805 | Neely Hudson | Pharmacist | 14310 Uvalde Ave, Lubbock, TX 79423-2777 | 2020-07-17 |
| 1851945786 | Will Burkett Ford I | Pharmacist | 6031 75th St, Lubbock, TX 79424-1935 | 2019-07-29 |
| 1700439445 | Megan Elizabeth Sneller | Pharmacist | 5813 91st St, Lubbock, TX 79424-3624 | 2019-07-22 |
| 1447813597 | Tiffany N Coomer | Pharmacist | 8062 Peach St, Lubbock, TX 79404 | 2019-04-15 |
| 1033682059 | Paul Wilbanks | Pharmacist | 12815 Indiana Ave., Lubbock, TX 79423-7942 | 2019-01-03 |
| 1437629300 | Monty Mcminn | Pharmacist | 3805 22nd St Ste 2a, Lubbock, TX 79410-1142 | 2018-12-04 |
| 1043718786 | Edward Murphy | Pharmacist | 8702 Toledo Ave, Lubbock, TX 79424 | 2018-01-29 |
| Find all providers in LUBBOCK | ||||
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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.