National Provider Identifier Database

JORDAN DRUG INC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

JORDAN DRUG, INC.
820 HWY 11 NORTH
BOONEVILLE, KY41314
Phone: 606-593-6306
Fax: 606-593-6859
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition 332BP3500X

* Indicates primary specialty

NPI Profile & details for JORDAN DRUG, INC.

NPI Number 1205862836
Legal business name
LBN
JORDAN DRUG, INC.
Authorized official ROSEMARY SMITH - (SEC/TREAS)
Entity Organization
Organization subpart No
Enumeration date 06/24/2006
Last updated 09/21/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: P01464
  • KY Medicaid: 5403203200
  • KY Other: 9003095800 DME MEDICAID
  • KY Other: FLU0298 MEDICARE FLU

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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