NPIMap

Organization Active NPI

Foster Jordan Drug Co.

Doing business as Jordan Drug

  • Pharmacist
  • Jordan, MT
National Provider Identifier
1093935454
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
247 Issued in MT
Legal business name
FOSTER JORDAN DRUG CO.
Doing business as
Jordan Drug
Practice address
437 Main St.
Jordan, MT 59337-0005
Phone
(406) 557-6180
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Alvin Fitzgerald, PHARMACISTNPI 1790815181
Title
Owner
Phone
(406) 557-6180

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
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 247 MT Primary

Addresses

Primary practice location

437 Main St.
Jordan, MT 59337-0005

Mailing address

437 Main St.
P.O. Box 5
Jordan, MT 59337-0005
Phone (406) 557-6180

Other identifiers 1

IdentifierTypeStateIssuer
0000228436MedicaidMT

Other names 1

  • Jordan Drug Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093935454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 MAIN ST.",
            "address_2": "P.O. BOX 5",
            "city": "JORDAN",
            "state": "MT",
            "postal_code": "593370005",
            "telephone_number": "406-557-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 MAIN ST.",
            "city": "JORDAN",
            "state": "MT",
            "postal_code": "593370005",
            "telephone_number": "406-557-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER JORDAN DRUG CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-557-6180",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000228436",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jordan, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.