Active NPI
Jordan Marie Fornecker, PHARMD
- Pharmacist
- Aberdeen, NC
National Provider Identifier
1740633403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26072
- Practice address
- 1550 N Sandhills Blvd
Aberdeen, NC 28315-2304 - Phone
- (910) 944-0438
- NPI assigned
- Jul 18, 2016
- Sex
- Female
- 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 | 26072 | NC | Primary |
Addresses
Primary practice location
1550 N Sandhills Blvd
Aberdeen, NC 28315-2304
Mailing address
1550 N Sandhills Blvd
Aberdeen, NC 28315-2304
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26072 | NC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| North Carolina CVS Pharmacy LLC | 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 and National Provider Directory roles.
-
- Pharmacy
- Aberdeen, NC
- NPI 1437492246
-
- Pharmacy
- Southern Pines, NC
- NPI 1538999107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468800000000",
"number": "1740633403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 N SANDHILLS BLVD",
"city": "ABERDEEN",
"state": "NC",
"postal_code": "283152304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 N SANDHILLS BLVD",
"city": "ABERDEEN",
"state": "NC",
"postal_code": "283152304",
"telephone_number": "910-944-0438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORNECKER",
"first_name": "JORDAN",
"middle_name": "MARIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-18",
"last_updated": "2016-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "26072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, NC
- Family Eye Care of the Carolinas PA
- Family Medical Supply LLC
- William R. Favret, MA
- Felicity L. Sanders, PH.D., Psychologist, PLLC
- First Chiropractic of the Sandhills
- Fresh Perceptions Counseling
- Rebecca Lyn Fronheiser, DDS
- Ganglani Aberdeen PLLC
- Damian J Ganoe, REGISTERED DIETITIAN
- Efren Garcia, NCPSS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.