Jordan Dwayne Talley, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

54774 Issued in TX

Practice address

701 Hickory St
Abilene, TX 79601-5005

Phone

(325) 677-9191

Fax

(325) 677-7203

NPI assigned

Dec 29, 2020

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

Credentials

Doctor of Pharmacy

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 and National Provider Directory roles.

• L & B Drug, Inc.

  • Pharmacy
  • Abilene, TX
  • NPI 1386741569
  NPD Authorized official
• L & B Drug Inc

  • Pharmacy
  • Abilene, TX
  • NPI 1912068776
  NPD (past) Authorized official

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1952998577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HICKORY ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796015005",
            "telephone_number": "325-677-9191",
            "fax_number": "325-677-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HICKORY ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796015005",
            "telephone_number": "325-677-9191",
            "fax_number": "325-677-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "JORDAN",
        "middle_name": "DWAYNE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "54774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huy Ta, PHARMD
• Joseph Leonard Tadvick, M.D.
• Laura Christina Taff, LPC
• Carolyn D. Talamantes, LCSW
• Leigh Taliaferro, MD
• Ma Christine Joy Lara Tan
• Boyce Neal Tankersley, NP
• Michelle Renee Tanner
• Nick Jonathan Tapie, LMFT
• Jerry M. Tarver, M.D.

• Pharmacist in Abilene, TX
• Providers in Abilene, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.