Active NPI
Jessica Marie Jordan, PHARMD, BCGP
- Geriatric Pharmacist
- Frederick, MD
National Provider Identifier
1790289593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 20464
- Practice address
- 400 W 7TH St
Frederick, MD 21701-4593 - Phone
- (240) 315-5206
- NPI assigned
- Mar 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 20464 | MD | Primary |
Addresses
Primary practice location
400 W 7TH St
Frederick, MD 21701-4593
Mailing address
109 E 2ND St Apt 3
Frederick, MD 21701-5358
Phone (301) 676-4626
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 |
|---|---|---|---|
| 20464 | MD | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521417600000",
"number": "1790289593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 E 2ND ST APT 3",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217015358",
"telephone_number": "301-676-4626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 7TH ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014593",
"telephone_number": "240-315-5206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "JESSICA",
"middle_name": "MARIE",
"credential": "PHARMD, BCGP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-19",
"last_updated": "2018-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist, Geriatric",
"state": "MD",
"license": "20464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.