Active NPI
Jordan Ferguson, PHARMD
- Pharmacist
- Draper, UT
National Provider Identifier
1417689985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7881084-1701
- Practice address
- 12921 S Vista Station Blvd Ste 400
Draper, UT 84020-2377 - Phone
- (801) 963-7157
- NPI assigned
- Jun 24, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7881084-1701 | UT | Primary |
Addresses
Primary practice location
12921 S Vista Station Blvd Ste 400
Draper, UT 84020-2377
Mailing address
12921 S Vista Station Blvd Ste 400
Draper, UT 84020-2377
Phone (801) 963-7157
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 |
|---|---|---|---|
| 7881084-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1417689985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12921 S VISTA STATION BLVD STE 400",
"city": "DRAPER",
"state": "UT",
"postal_code": "840202377",
"telephone_number": "801-963-7157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12921 S VISTA STATION BLVD STE 400",
"city": "DRAPER",
"state": "UT",
"postal_code": "840202377",
"telephone_number": "801-963-7157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "JORDAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-24",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "7881084-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.