Individual provider Active NPI

Ashley Perdue Jordan, PHARMD

  • Pharmacist
  • Johns Island, SC
National Provider Identifier
1982011839
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
35386 Issued in SC
Practice address
3621 Savannah Hwy
Johns Island, SC 29455-7937
Phone
(843) 571-0615
NPI assigned
Jul 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 35386 SC Primary

Addresses

Primary practice location

3621 Savannah Hwy
Johns Island, SC 29455-7937

Mailing address

1373 River Rd
Johns Island, SC 29455-8708
Phone (843) 992-9264

Other practice location 1

2498 2nd Loop Rd
Florence, SC 29501-6162
Phone (843) 317-1233

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

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Apr 10, 2022 Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co PastSince Aug 30, 2020 Accepting new patients

Locations

3621 Savannah Hwy
Johns Island, SC 29455
Phone (843) 571-0615

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1982011839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 RIVER RD",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558708",
            "telephone_number": "843-992-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 SAVANNAH HWY",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294557937",
            "telephone_number": "843-571-0615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2498 2nd Loop Rd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295016162",
            "country_code": "US",
            "telephone_number": "843-317-1233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ASHLEY",
        "middle_name": "PERDUE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "35386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.