Robert S Jordan, DPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

6773 Issued in TN

Practice address

6840 Maynardville Pike
Knoxville, TN 37918-5309

Phone

(865) 922-4174

NPI assigned

Sep 17, 2010

Last updated

Sep 17, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

• Freds Stores of Tennessee Inc

  dba Drugs for Less 2121

  • Community/Retail Pharmacy
  • Knoxville, TN
  • NPI 1518999457
  NPD (past)
• Freds Stores of Tennessee Inc

  dba Freds Pharmacy 3648

  • Community/Retail Pharmacy
  • Greenville, MS
  • NPI 1093969016
  NPD (past)

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1639487184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7532 HALLS VIEW RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379384117",
            "telephone_number": "865-922-0885",
            "fax_number": "865-925-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 MAYNARDVILLE PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185309",
            "telephone_number": "865-922-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "DPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "6773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Jordan, OD
• Mary Elizabeth Jordan, DO
• Merianne Jordan, DPT
• Nathaniel John Jordan, DO
• Robert Dalson Jordan, DDS
• Sean Alexander Jordan, MD
• Valerie Jordan, APRN
• Mark Steven Jordon, M.D.
• Barbara Jorgensen, P.T.
• Kaileen Theresa Joritz

• Pharmacist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.