Jordan Reses Prescription Center, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP413130L Issued in PA

Legal business name

JORDAN RESES PRESCRIPTION CENTER, INC.

Practice address

5739 Chester Ave
Philadelphia, PA 19143-5530

Phone

(215) 726-1224

Fax

(215) 729-1040

NPI assigned

Mar 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Eric Sitnick, J.D.

Title

President

Phone

(215) 726-1224

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437288941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5739 CHESTER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191435530",
            "telephone_number": "215-726-1224",
            "fax_number": "215-729-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5739 CHESTER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191435530",
            "telephone_number": "215-726-1224",
            "fax_number": "215-729-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN RESES PRESCRIPTION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SITNICK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-726-1224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP413130L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "3913236",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deelshad Joomun
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• Ximena Jordan Bruno, M.D.
• Jordan Rehab Corporation (Spring Chiropractic & Rehabilitation Center)
• Mary M Jordan-Luft, CRNP
• Rakia Jordan-Wells, MS, ABA
• Brennan Jordan
• Brian Jordan
• Carrie Jordan, M.D.

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.