Jordyn Amber Koontz

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP459899 Issued in PA

Practice address

700 Lancaster Ave
Wayne, PA 19087-2515

Phone

(610) 341-0951

NPI assigned

Oct 1, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Acme Markets Inc

  • Community/Retail Pharmacy
  • Wayne, PA
  • NPI 1295781292
  NPD (past)
• Acme Markets Inc

  • Community/Retail Pharmacy
  • Patterson, NY
  • NPI 1376900290
  NPD (past)

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1790659092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S BRYN MAWR AVE APT J8",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190104238",
            "telephone_number": "937-286-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LANCASTER AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872515",
            "telephone_number": "610-341-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "JORDYN",
        "middle_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP459899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taissa Kira, M.AC., L.AC.
• Drew Kirschmann
• Amanda Rachel Koch, LPC
• Ann Marie Kolongowski-Diaddezio, MSPT
• Alexa Konrad, PA-C
• Courtney Nicole Kopeika, PT
• Tracy Kornafel
• Melissa B Korsin
• Seth Jeremy Koss, MD
• Vandana Goyal Kotapally

• Pharmacist in Wayne, PA
• Providers in Wayne, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.