Active NPI
Haley Marie Jordan, PHARMD
- Pharmacist
- Huntsville, AL
National Provider Identifier
1295226348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17654
- Practice address
- 310 Pelham Ave SW
Huntsville, AL 35801-5016 - Phone
- (256) 534-2333
- NPI assigned
- May 24, 2018
- 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 | 17654 | AL | Primary |
Addresses
Primary practice location
310 Pelham Ave SW
Huntsville, AL 35801-5016
Mailing address
512 Market St NE Apt 9
Decatur, AL 35601-1978
Phone (256) 318-2794
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17654 | Other | AL | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| 17654 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Alabama, LLC | Past | Accepting new patients | |
| Publix Alabama LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Huntsville, AL
- NPI 1053737593
-
- Community/Retail Pharmacy
- Foley, AL
- NPI 1326856592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1295226348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 MARKET ST NE APT 9",
"city": "DECATUR",
"state": "AL",
"postal_code": "356011978",
"telephone_number": "256-318-2794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 PELHAM AVE SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015016",
"telephone_number": "256-534-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "HALEY",
"middle_name": "MARIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-24",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "17654",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "17654",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.