Active NPI
Jordan Hendershot, PHARMD
- Pharmacist
- Midwest City, OK
National Provider Identifier
1689219495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18600
- Practice address
- 9950 SE 15TH St
Midwest City, OK 73130-5525 - Phone
- (405) 741-2919
- NPI assigned
- Nov 15, 2019
- Last updated
- Nov 15, 2019
- 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 | 18600 | OK | Primary |
Addresses
Primary practice location
9950 SE 15TH St
Midwest City, OK 73130-5525
Mailing address
9950 SE 15TH St
Midwest City, OK 73130-5525
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573776000000",
"number": "1689219495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9950 SE 15TH ST",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731305525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9950 SE 15TH ST",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731305525",
"telephone_number": "405-741-2919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSHOT",
"first_name": "JORDAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-15",
"last_updated": "2019-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "18600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midwest City, OK
- Heartland Medical Associates, LLC (Allergy & Asthma Care Centers of Oklahoma)
- Casey Janelle Heflin
- Whitney Lee Heinrich
- Christina Helber
- Helens Love for Seniors LLC
- Wallisa Henderson
- Kelsey Nicole Henson, BS
- Tiffany Shawn Herbert, D. C.
- Heritage Park Eye Care Center (Vision Source Midwest City)
- Heritage Park Eye Care Center (Vision Source Midwest City)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.