MRS. KATHY LYNN JORDAN (NPI# 1932255049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932255049 |
Entity Type | Individual |
Full Name | MRS. KATHY LYNN JORDAN |
Credential | PHARM D |
Practice Address |
324 E Antietam St Suite 202 Hagerstown MD 21740-5754 |
Mailing Address |
13587 Donnybrook Dr Hagerstown MD 21742-2504 |
Practice Telephone | 3017664167 |
Practice Fax Number | 3017454164 |
Enumeration Date | 2007-01-25 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 14201 | MD | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | PHARMACY LICENSE NUMBER | 14201 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124663166 | Kathy Johnson Jordan | Occupational Therapist | 16835 Deer Creek Dr Ste 12, Spring, TX 77379-4968 | 2019-11-13 |
1366990954 | Kathy Jordan | Behavior Technician | 444 S 44th St, Omaha, NE 68131-3727 | 2016-09-13 |
1154441392 | Kathy Annette Jordan | Occupational Therapy Assistant | 18840 Falling Water Rd, Strongsville, OH 44136-4200 | 2007-03-30 |
1881623197 | Kathy Quarles Jordan | Social Worker | 12 W. Sunbridge, Fayetteville, AR 72703 | 2006-06-30 |
Street Address |
324 E ANTIETAM ST SUITE 202 |
City | HAGERSTOWN |
State | MD |
Zip Code | 21740-5754 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184627622 | Rehabilitation Practitioners Inc | Prosthetic/Orthotic Supplier | 324 E Antietam St, Ste 300, Hagerstown, MD 21740-5768 | 2005-05-30 |
1801305370 | Sarah Martin | Counselor | 324 E Antietam St, Hagerstown, MD 21740-5754 | 2017-09-27 |
1174999650 | Potomac Case Management Services, Inc. | Social Worker | 324 E Antietam St, Suite 301, Hagerstown, MD 21740-5754 | 2015-08-19 |
1447626684 | Erin Tack | Counselor | 324 E Antietam St, Hagerstown, MD 21740-5754 | 2015-08-11 |
1184989683 | Meritus Medical Center Inc | Clinic/Center | 324 E Antietam St, Hagerstown, MD 21740-5754 | 2012-07-10 |
1326304288 | Interstate Psychaitric Care | Psychiatry & Neurology | 324 E Antietam St, Suite 307-a, Hagerstown, MD 21740-5754 | 2012-04-04 |
1083908750 | Ehab Shalaby Md, Pa | Specialist | 324 E Antietam St, Suite 306a, Hagerstown, MD 21740-5754 | 2011-05-31 |
1861785412 | Pediatric Clinic, LLC | Pediatrics | 324 E Antietam St, Suite 200, Hagerstown, MD 21740-5754 | 2011-05-16 |
1326356569 | Downtown Urgent Care LLC | Clinic/Center | 324 E Antietam St, Suite 203, Hagerstown, MD 21740-5754 | 2010-09-22 |
1104098540 | Noor Maqsood Siddiqui | Family Medicine | 324 E Antietam St, Suite 305, Hagerstown, MD 21740-5754 | 2008-03-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
Find all providers in zip 21740 |
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 |
---|---|---|---|---|
1699189118 | Santander Bornacelly | Pharmacist | 580 Wesel Blvd, Hagerstown, MD 21740 | 2014-06-12 |
1366855256 | Lori Barnes | Pharmacist | 1580 Wesel Blvd., Cvs Pharmacy #5650, Hagerstown, MD 21740 | 2014-06-09 |
1629350046 | Melanie Paff | Pharmacist | 11110 Medical Campus Rd Ste 105, Hagerstown, MD 21742-6734 | 2011-09-12 |
1164738050 | Stalin Krishnan | Pharmacist | 825 W Hillcrest Rd, Hagerstown, MD 21742-3105 | 2010-08-30 |
1992963938 | Dawn Tracey Medina | Pharmacist | 12817 Shank Farm Way, Hagerstown, MD 21742 | 2008-05-27 |
1487700977 | Nicole N Prum | Pharmacist | 13424 Pennsylvania Ave Ste 102, Hagerstown, MD 21742-2685 | 2007-01-26 |
1871588343 | David Michael Russo | Pharmacist | 25 N Cannon Ave, Russo's Rx, Hagerstown, MD 21740-4918 | 2005-09-12 |
1376144709 | Hao Michelle Wu | Pharmacist | 10420 Walmart Dr, Hagerstown, MD 21740-5790 | 2020-11-03 |
1235739418 | Stephanie Best | Pharmacist | 17850 Garland Groh Blvd, Hagerstown, MD 21740-1944 | 2020-10-28 |
1376143735 | Kelli Ashby | Pharmacist | 17850 Garland Groh Blvd, Hagerstown, MD 21740-1944 | 2020-10-27 |
Find all providers in HAGERSTOWN |
City | HAGERSTOWN |
Zip Code | 21740 |
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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.