Organization Active NPI

Jordan Drugs, LLC

  • Pharmacy
  • Montrose, MI
National Provider Identifier
1053035113
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
JORDAN DRUGS, LLC
Practice address
124 W State St Ste B
Montrose, MI 48457-7716
Phone
(810) 265-2121
NPI assigned
Oct 3, 2022
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tracey Jordan, PHARMDNPI 1407239411
Title
Owner/Operator/Pharmacist in Charge
Phone
(810) 265-2121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

124 W State St Ste B
Montrose, MI 48457-7716

Mailing address

10188 Stanley Rd
Flushing, MI 48433-9259
Phone (810) 265-2121

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1053035113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10188 STANLEY RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484339259",
            "telephone_number": "810-265-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W STATE ST STE B",
            "city": "MONTROSE",
            "state": "MI",
            "postal_code": "484577716",
            "telephone_number": "810-265-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN DRUGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-01",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "OWNER/OPERATOR/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "810-265-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.