Jordan Leigh Utsey

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

241498 Issued in TX

Practice address

2990 E Business 190
Copperas Cove, TX 76522-2515

Phone

(254) 547-9755

Fax

(254) 547-9858

NPI assigned

Apr 9, 2021

Last updated

Apr 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• H-E-B, LP

  dba HEB Pharmacy #812

  • Community/Retail Pharmacy
  • Georgetown, TX
  • NPI 1770393217
  NPD (past)

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1457931909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 S FLORES ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782041219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 E BUSINESS 190",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765222515",
            "telephone_number": "254-547-9755",
            "fax_number": "254-547-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTSEY",
        "first_name": "JORDAN",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "241498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "2990 E Business 190",
            "city": "Copperas Cove",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765222515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda L. Townsend, RN MS LPC LMFT
• Ashley Tran, DDS
• Travail Adaptations
• Antoinette Triplett
• Caleb Tuiasosopo
• Uvalde County Hospital Authority (Hill Country Heights)
• Praneetha Vallamreddy, DDS
• Jayme Valles, PTA
• Maja Vazic, PTA
• Swadeepa Reddy Venkatapur, DDS

• Pharmacy Technician in Copperas Cove, TX
• Providers in Copperas Cove, TX by specialty
• Pharmacy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.