Cheryl Dawn Jorgenson, PHARMD.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

46801 Issued in TX

Practice address

401 South Jim Wright Freeway
Suite 102
Fort Worth, TX 76108

Phone

(817) 367-4265

Fax

(877) 361-5900

NPI assigned

Dec 3, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1598196446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150155",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761080155",
            "telephone_number": "817-367-4265",
            "fax_number": "877-246-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SOUTH JIM WRIGHT FREEWAY",
            "address_2": "SUITE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76108",
            "telephone_number": "817-367-4265",
            "fax_number": "877-361-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSON",
        "first_name": "CHERYL",
        "middle_name": "DAWN",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "46801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Michael Jordan, OWNER
• Makenzie Jordan, LPC
• Penny Michele Jordan, APRN
• Reginald Jordan, LCSW
• Shelby Jordan
• Jeffy T. Jose
• Nidish Jose, AGNP-C
• Joseph a. Cocco DO, PA
• Joseph Cecere D.M.D.,Inc.
• Joseph Daniels, DO

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.