First Choice Pharmacy of Jordan MN, PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FIRST CHOICE PHARMACY OF JORDAN MN, PLLC

Practice address

255 Creek LN S
Jordan, MN 55352-1214

Phone

(952) 492-3334

NPI assigned

Sep 1, 2026

Last updated

Sep 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Robert Kelly, PHARMDNPI 1881012532

Title

Owner/Pharmacist

Phone

(507) 227-9678

Specialties & licenses 1

Addresses

Locations

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.

• Matthew Kelly

  • Pharmacist
  • Jordan, MN
  • NPI 1881012532
  Authorized official Same address or phone

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1063320703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 CREEK LN S",
            "city": "JORDAN",
            "state": "MN",
            "postal_code": "553521214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 CREEK LN S",
            "city": "JORDAN",
            "state": "MN",
            "postal_code": "553521214",
            "telephone_number": "952-492-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE PHARMACY OF JORDAN MN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "507-227-9678",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Counseling Center LLC
• Arlanda Nancy Dahnert
• Edge Medical Services
• Faithworks Counseling, LLC (Anchor Counseling)
• Katie Ferraz-Souza, DDS
• First Choice Pharmacy of Jordan PC (First Choice Pharmacy)
• Jenny Flynn, LPTA
• Krista Lee Fromm, PT
• Josiah A. Goldammer, D.O.
• Nicole Halvorson

• Community/Retail Pharmacy in Jordan, MN
• Providers in Jordan, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.