Jordan Conley, RPH, LDE

Primary specialty

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

License

12632 Issued in KY

Practice address

5001 Mud LN
Louisville, KY 40229-2870

Phone

(502) 962-8022

Fax

(502) 962-9216

NPI assigned

Oct 20, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1689273757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 MUD LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292870",
            "telephone_number": "502-962-8022",
            "fax_number": "502-962-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 MUD LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292870",
            "telephone_number": "502-962-8022",
            "fax_number": "502-962-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "JORDAN",
        "credential": "RPH, LDE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IN",
            "license": "26021318A",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "KY",
            "license": "12632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Elizabeth Conklin, PA-C
• Alyssa Noell Conley Hamlin, DO
• Catherine Grace Conley
• Christie L Conley, FNP-BC
• Hannah Marie Conley
• Marla K Conley, APRN
• Marydora Conley, LMFT, LCSW
• Tiffany M Conley
• Brette Conliffe, PHARMD
• Kathrine Conliffe, D.O.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Louisville, KY
• Providers in Louisville, KY by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.