MRS. KATHY LYNN JORDAN


Address: 324 E Antietam St, Suite 202, Hagerstown, MD 21740-5754
Phone: 3017664167

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 14201 MD Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD PHARMACY LICENSE NUMBER 14201 01

Other Providers KATHY JORDAN

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1124663166 Kathy Johnson Jordan Occupational Therapist 16835 Deer Creek Dr Ste 12, Spring, TX 77379-4968 2019-11-13
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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

Office Location

Street Address 324 E ANTIETAM ST
SUITE 202
City HAGERSTOWN
State MD
Zip Code 21740-5754

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City HAGERSTOWN
Zip Code 21740

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Dataset Information

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.

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