Jeffrey Jerome Jordan, R.PH.
Individual provider Active NPI Pharmacist · Mt. Pocono, PA
NPI 1154743904 · NPPES record last updated Jan 14, 2014
Key facts
- NPI
- 1154743904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP-035354-L (PA)
- Practice address
- RT 940 Mt Pocono Plaza
Weis Pharmacy
Mt. Pocono, PA 18344 - Phone
- (570) 839-6240
- NPI assigned
- Jan 14, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP-035354-L | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP-035354-L | PA | Yes |
Addresses
Primary practice location
RT 940 Mt Pocono Plaza
Weis Pharmacy
Mt. Pocono, PA 18344
Mailing address
RT 940 Mt. Pocono Plaza
Weis Pharmacy
Mt. Pocono, PA 18344
Phone (570) 839-6240
Other providers in Mt. Pocono, PA
- Allyson C. Hardy
- Lavator Henderson
- Jose Antonio Hernandez Jr.
- Homes Much Better LLC (HMB)
- Mohammad Shakhawat Hossain
- Rebecca Elizabeth Kashuba
- Alexandra Judith Kay
- Paula Ann Keller
- Kidspeace Children'S Hospital, Inc.
- Kidspeace Children'S Hospital, Inc.
All providers in Mt. Pocono, PA · Pharmacist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.