Tracy L Jordan, R.PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

16509 Issued in GA

Practice address

757 Big a Rd S
Toccoa, GA 30577-3166

Phone

(706) 866-8575

Fax

(706) 866-8711

NPI assigned

Mar 15, 2023

Last updated

Mar 15, 2023By the provider in NPPES

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

Credentials

Registered Pharmacist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Jackson Medicine Center, Inc

  • Community/Retail Pharmacy
  • Hoschton, GA
  • NPI 1790846426
  NPD Authorized official

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1891496998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 385",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305480385",
            "telephone_number": "706-540-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 BIG A RD S",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305773166",
            "telephone_number": "706-866-8575",
            "fax_number": "706-866-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "TRACY",
        "middle_name": "L",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "16509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Cecelia Jauch, LCSW
• Jennifer Lynn Harper (The Promethean Clinic, LLC)
• Jennifer Forbes Jennings, PHARMD
• Jerry White's Pharmacy, Inc
• Glen Johnson, MA
• JSB Health, LLC (Maddox Drugs)
• Richard A Kay, PA-C
• Kenneth G. Schneider, O.D.,P.C.
• Matthew William Kervin, CRNA
• Nancy Carol Khoury, R.N.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.