Active NPI
Jamie Lynn Jordan, PHARMD
- Pharmacist
- State College, PA
National Provider Identifier
1063687499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP439271
- Practice address
- 373 Benner Pike
State College, PA 16801-7304 - Phone
- (814) 235-9402
- Fax
- (814) 235-9603
- NPI assigned
- Apr 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP439271 | PA | Primary |
Addresses
Primary practice location
373 Benner Pike
State College, PA 16801-7304
Mailing address
373 Benner Pike
State College, PA 16801-7304
Phone (814) 235-9402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP439271 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209254400000",
"number": "1063687499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "373 BENNER PIKE",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017304",
"telephone_number": "814-235-9402",
"fax_number": "814-235-9603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "373 BENNER PIKE",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017304",
"telephone_number": "814-235-9402",
"fax_number": "814-235-9603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "JAMIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-27",
"last_updated": "2008-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP439271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.