Jordon Baker Acquisitions, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JORDON BAKER ACQUISITIONS, INC.

Practice address

604 S Hwy 226
Bakersville, NC 28705

Phone

(828) 820-8058

Fax

(931) 401-4671

NPI assigned

Oct 16, 2020

Organization subpart

Yes

Parent organization

JORDON BAKER ACQUISITIONS, INC.As reported in NPPES

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

Authorized official

Name

Jordon Thomas Baker, PHARM D.

Title

Ceo / President

Phone

(423) 772-3591

Specialties & licenses 1

Addresses

Other names 1

• Roan Mountain Pharmacy of Bakersville Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Jordon Baker Acquisitions, Inc.

  • Community/Retail Pharmacy
  • Roan Mountain, TN
  • NPI 1639112444

  9830427673

  Same PAC ID

Tax ID family

Jordon Baker Acquisitions Inc2 organizations share this tax ID, including this one

Part of

Jordon Baker Acquisitions Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jordon Baker Acquisitions, Inc.

  • Long Term Care Pharmacy
  • Bakersville, NC
  • NPI 1124845896
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Jordon Baker Acquisitions, Inc.

  • Long Term Care Pharmacy
  • Bakersville, NC
  • NPI 1124845896
  NPPES parent name

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722729600000",
    "number": "1336747872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8251 HIGHWAY 19 E",
            "city": "ROAN MOUNTAIN",
            "state": "TN",
            "postal_code": "376873343",
            "telephone_number": "423-772-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S HWY 226",
            "city": "BAKERSVILLE",
            "state": "NC",
            "postal_code": "28705",
            "telephone_number": "828-820-8058",
            "fax_number": "931-401-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDON BAKER ACQUISITIONS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JORDON BAKER ACQUISITIONS, INC.",
        "enumeration_date": "2020-10-16",
        "last_updated": "2024-08-04",
        "certification_date": "2024-08-04",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JORDON",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "423-772-3591",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roan Mountain Pharmacy of Bakersville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roan Mountain Pharmacy of Bakersville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Deshane Howard
• Anthony Lawson Hudson, PHARMD
• Stephen Wray James, MD
• Jacob Jarrett, MMS, PA-C
• Jordon Baker Acquisitions, Inc.
• Carolyn Kelly Mueller, D.M.D.
• Laboratory Corporation of America Holdings
• Kong Peng Lor
• Laura Kathryn Loudin
• Samantha S McIntosh, FNP

• Community/Retail Pharmacy in Bakersville, NC
• Providers in Bakersville, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.