Active NPI
Jordan Olivia Fyock, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Johnstown, PA
National Provider Identifier
1942982343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RP456943
- Practice address
- 598 Galleria Dr
Johnstown, PA 15904-8900 - Phone
- (814) 943-8164
- NPI assigned
- Aug 4, 2023
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RP456943 | PA | Primary |
Addresses
Primary practice location
598 Galleria Dr
Johnstown, PA 15904-8900
Mailing address
1398 Old Forbes Rd
Stoystown, PA 15563-8765
Phone (814) 659-3676
Other practice location 1
2907 Pleasant Valley Blvd
Altoona, PA 16602-4305
Phone (877) 626-2500
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 |
|---|---|---|---|
| RP456943 | PA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1942982343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1398 OLD FORBES RD",
"city": "STOYSTOWN",
"state": "PA",
"postal_code": "155638765",
"telephone_number": "814-659-3676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "598 GALLERIA DR",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159048900",
"telephone_number": "814-943-8164"
}
],
"practiceLocations": [
{
"address_1": "2907 Pleasant Valley Blvd",
"address_purpose": "LOCATION",
"city": "Altoona",
"state": "PA",
"postal_code": "166024305",
"country_code": "US",
"telephone_number": "877-626-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FYOCK",
"first_name": "JORDAN",
"middle_name": "OLIVIA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-04",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "PA",
"license": "RP456943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.