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.
1031 GRAND AVE.
BEATTYVILLE, KY41311
Phone: 606-464-3396
Fax: 606-464-0558
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 1689602799
Legal business name
LBN
JORDAN DRUG, INC.
Authorized official ROSEMARY SMITH - (SEC/TREAS)
Entity Organization
Organization subpart No
Enumeration date 06/29/2006
Last updated 05/08/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: P01910
  • KY Medicaid: 5403201600
  • KY Other: 9005065900 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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