Active NPI
Jordan Ally Darrah, PHARMD
- Pharmacist
- Johnson City, NY
National Provider Identifier
1316308778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 060206
- Practice address
- 515 Reynolds Rd
Johnson City, NY 13790-1311 - Phone
- (607) 798-5533
- NPI assigned
- Mar 14, 2016
- Last updated
- Jan 2, 2024
- 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 | 060206 | NY | Primary |
Addresses
Primary practice location
515 Reynolds Rd
Johnson City, NY 13790-1311
Mailing address
169 Riverside Dr
Binghamton, NY 13905-4246
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 |
|---|---|---|---|
| 060206 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialty Pharmacy
- Johnson City, NY
- NPI 1730982596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1316308778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 RIVERSIDE DR",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139054246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 REYNOLDS RD",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137901311",
"telephone_number": "607-798-5533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARRAH",
"first_name": "JORDAN",
"middle_name": "ALLY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-14",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "060206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.