Active NPI
Guy E Jordan, RPH
- Pharmacist
- Lemoore, CA
National Provider Identifier
1982675005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00009760
- Practice address
- 937 Franklin Blvd
Lemoore, CA 93246-4700 - Phone
- (559) 998-4499
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- 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 | 183500000X | PH00009760 | WA | Primary |
Addresses
Primary practice location
937 Franklin Blvd
Lemoore, CA 93246-4700
Mailing address
937 Franklin Blvd
Lemoore, CA 93246-4700
Phone (559) 998-4499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH00009760 | Other | WA | PHARMACIST |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00009760 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1982675005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "937 FRANKLIN BLVD",
"city": "LEMOORE",
"state": "CA",
"postal_code": "932464700",
"telephone_number": "559-998-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "937 FRANKLIN BLVD",
"city": "LEMOORE",
"state": "CA",
"postal_code": "932464700",
"telephone_number": "559-998-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "GUY",
"middle_name": "E",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00009760",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "PH00009760",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lemoore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.