Active NPI
Teresa Freeman Jordan, RPH
- Pharmacist
- Smithfield, VA
National Provider Identifier
1114225505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202006726
- Practice address
- 1200 Benns Church Blvd
Smithfield, VA 23430-6063 - Phone
- (757) 357-5432
- NPI assigned
- Mar 8, 2011
- Last updated
- Mar 8, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 0202006726 | VA | Primary |
Addresses
Primary practice location
1200 Benns Church Blvd
Smithfield, VA 23430-6063
Mailing address
1857 Horseshoe Point Rd
Suffolk, VA 23432-1835
Phone (757) 714-0151
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202006726 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1114225505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1857 HORSESHOE POINT RD",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234321835",
"telephone_number": "757-714-0151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BENNS CHURCH BLVD",
"city": "SMITHFIELD",
"state": "VA",
"postal_code": "234306063",
"telephone_number": "757-357-5432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "TERESA",
"middle_name": "FREEMAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-08",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202006726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithfield, VA
- Isle of Wight Family and Cosmetic Dentistry, P.C.
- Isle of Wight Family Practice, LLC
- Jenesys Home Health Care Services LLC (Jenesys HHCS)
- Joeann Jenkins, COUNSELOR
- Emily Anne Jordan
- Kroger Limited Partnership I (Kroger Pharmacy #575)
- Justina Lambert, LPC
- Sharon Elizabeth Lampman
- Erica Lee
- Timothy N Lee, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.