Roy Brent Jordan

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

14812 Issued in TX

Legal business name

ROY BRENT JORDAN

Doing business as

Jordan Pharmacy

Practice address

1332 Highway 16 S
Graham, TX 76450-4202

Phone

(940) 549-1011

Fax

(940) 549-0716

NPI assigned

May 7, 2007

Last updated

Oct 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roy Brent Jordan, PHARMACISTNPI 1922176288

Title

Owner

Phone

(940) 549-1011

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• JORDAN PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roy B Jordan, RPH

  • Pharmacist
  • Graham, TX
  • NPI 1922176288
  NPD (past) Authorized official

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1982817102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 STATE HIGHWAY 16 S",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504202",
            "telephone_number": "940-549-1011",
            "fax_number": "940-549-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 HIGHWAY 16 S",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504202",
            "telephone_number": "940-549-1011",
            "fax_number": "940-549-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY BRENT JORDAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-549-1011",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "14812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143816",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MEDICAID & HEALTHCARE",
            "identifier": "0102188-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JORDAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Monet Reynolds, RN
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• William Bryan Richardson, PHARM.D.
• River Brazos Emergency Physicians PLLC
• Emerson Wayne Roberson, PTA
• Salt Creek Dental, PLLC
• Kimberly Anne Sava, NP
• David Lee Scott, D.D.S.
• Senior Living Properties LLC (Graham Living Center)
• Seniorly Yours, LLC

• Community/Retail Pharmacy in Graham, TX
• Providers in Graham, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.