Leigh Hamm Jordan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH023097 Issued in GA

Practice address

2125 Maple Street
Carrollton, GA 30117

Phone

(770) 832-0005

Fax

(770) 832-6269

NPI assigned

Jan 31, 2021

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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 and National Provider Directory roles.

• Georgia CVS Pharmacy L.L.C

  dba CVS Pharmacy #11017

  • Pharmacy
  • Pooler, GA
  • NPI 1578009130
  NPD (past)

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

{
    "created_epoch": "1612051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612051200000",
    "number": "1700477965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 MAPLE STREET",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "30117",
            "telephone_number": "770-832-0005",
            "fax_number": "770-832-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 MAPLE STREET",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "30117",
            "telephone_number": "770-832-0005",
            "fax_number": "770-832-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "LEIGH",
        "middle_name": "HAMM",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-31",
        "last_updated": "2021-01-31",
        "certification_date": "2021-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH023097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cvs",
            "affiliation": "N",
            "address_1": "2125 Maple Street",
            "city": "Carrollton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CVS",
            "affiliation": "N",
            "address_1": "2125 Maple Street",
            "city": "Carrollton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cvs",
            "affiliation": "N",
            "address_1": "2125 Maple Street",
            "city": "Carrollton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin Johnston, LMSW
• Amanda Michelle Jones, ACNPC-AG
• Courtney E Jones, CSFA
• Elizabeth Harman Jones, P.T.
• Stephanie Jones, NP
• Melanie Jordan
• Joseph S. Palin, M.D.
• Stephanie McIntosh Junior, NP
• Stephen Housman Kahler, M.D.
• Tejal Ashok Kakade, D.M.D

• Pharmacist in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.