DR. SHANE JORDAN
NPI 1104145606
Pharmacist in Lakeland, FL

Active since May 24, 2010
4445 US HIGHWAY 98 N, LAKELAND, FL 33809(863) 815-2343 Get Directions Write a Review

NPPES record last updated: May 24, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shane Jordan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANE JORDAN (NPI 1104145606) is an individual pharmacist in Lakeland, Florida, licensed in Florida (PS45173) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1104145606
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. SHANE JORDAN
Location Address4445 US HIGHWAY 98 NLakeland, FL 33809-0402
Mailing Address1834 Grey Fox DrLakeland, FL 33810-2069
Sole ProprietorNo
Enumeration DateMay 24, 2010
NPI 1104145606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in FL · PS45173
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
4445 US HIGHWAY 98 N, Lakeland, FL 33809

Other Identifiers 1

Medicaid021624100FL

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
4445 US HIGHWAY 98 N
LAKELAND, FL 33809
Pharmacy
4445 US HIGHWAY 98 N
LAKELAND, FL 33809
Pharmacist
4445 US HIGHWAY 98 N, WALGREENS
LAKELAND, FL 33809
Pharmacist
4445 US HIGHWAY 98 N
LAKELAND, FL 33809
Pharmacist
4445 US HIGHWAY 98 N
LAKELAND, FL 33809

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Jordan's NPI number?

The NPI number for Shane Jordan is 1104145606. It was assigned to this individual provider in the NPPES registry on May 24, 2010.

Where is Shane Jordan located?

Shane Jordan practices at 4445 Us Highway 98 N, Lakeland, FL 33809. The listed phone number is (863) 815-2343.

What is Shane Jordan's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Shane Jordan was last updated on May 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.