Jordan Summers, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202214964 Issued in VA

Practice address

605 Wood Ave E
Big Stone Gap, VA 24219-3021

Phone

(276) 523-4795

NPI assigned

Sep 13, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1255889770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 WOOD AVE E",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242193021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 WOOD AVE E",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242193021",
            "telephone_number": "276-523-4795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1805 E Stone Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604605",
            "country_code": "US",
            "telephone_number": "423-246-7291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "40749",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202214964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Stallard, NP
• Kristen Nichole Stidham, BS MS
• Virginia M Stokes
• John Edward Strange, MD
• Lindsey Gardner Sturgill, BS
• Christy Rhea Swinney, MSN, FNP-BC
• Cassandra Ann Talley
• Leonard Tatro Jr., D.D.S.
• Kenneth Michael Taylor, LCSW LMFT
• Sharon Clemons Taylor, MSW LCSW

• Pharmacist in Big Stone Gap, VA
• Providers in Big Stone Gap, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.