Active NPI
Jordan Russell Slump, PHARMD
- Pharmacist
- South Sioux City, NE
National Provider Identifier
1235802448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17178
- Practice address
- 2501 Cornhusker Plaza
South Sioux City, NE 68776 - Phone
- (402) 494-3021
- NPI assigned
- Jul 26, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24358 | IA | |
| Pharmacist | 183500000X | 17178 | NE | Primary |
Addresses
Primary practice location
2501 Cornhusker Plaza
South Sioux City, NE 68776
Mailing address
2501 Cornhusker Plaza
South Sioux City, NE 68776
Phone (402) 494-3021
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 |
|---|---|---|---|
| 24358 | IA | MD | Pharmacist |
| 17178 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1235802448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 CORNHUSKER PLAZA",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "68776",
"telephone_number": "402-494-3021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 CORNHUSKER PLAZA",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "68776",
"telephone_number": "402-494-3021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLUMP",
"first_name": "JORDAN",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-26",
"last_updated": "2024-07-29",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "24358",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "17178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Sioux City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.