Adam Jordan, DPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

11105 Issued in OK

Practice address

513 Barnes Ave
Alva, OK 73717-2288

Phone

(580) 327-3332

Fax

(580) 327-1848

NPI assigned

Feb 2, 2021

Last updated

Feb 2, 2021By the provider in NPPES

Sex

Male

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beadles Operations, LLC

  dba Beadles New Beginnings

  • Skilled Nursing Facility
  • Alva, OK
  • NPI 1164246898
  NPD Authorized official
• Beadles, Inc.

  dba Beadles Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Alva, OK
  • NPI 1205948338
  NPD
• Holder-Southern Drug Company Inc

  dba Holder Drug

  • Community/Retail Pharmacy
  • Alva, OK
  • NPI 1396835013
  NPD

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1861083701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737170062",
            "telephone_number": "580-732-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BARNES AVE",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737172288",
            "telephone_number": "580-327-3332",
            "fax_number": "580-327-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ADAM",
        "credential": "DPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "11105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Human Performance Center 3 PLLC
• Megan A Isaacs
• Delissa Leann Jantz, BS
• Lacey Michelle Jones, ATC
• Jordan Chiropractic, P.C. (Advanced Chiropractic)
• Troy Joe Jordan, D.C.
• Christy Marie Kerfoot-Tidwell, ATC, LAT
• Kimbr Enterprises Inc (Advanced Chiropractic Center)
• Dana Kirkpatrick
• Kirt Bierig D O Inc

• Pharmacist in Alva, OK
• Providers in Alva, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.