CARLY JORDAN PHARMD
NPI 1194110411
Pharmacist in Maple Grove, MN

Active since April 02, 2015
15300 GROVE CIR N, MAPLE GROVE, MN 55369(763) 447-2507 Get Directions Write a Review

NPPES record last updated: April 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carly Jordan Pharmd NPPES

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

CARLY JORDAN PHARMD (NPI 1194110411) is an individual pharmacist in Maple Grove, Minnesota, licensed in Minnesota (120507) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1194110411
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameCARLY JORDANCredential: PHARMD
Location Address15300 GROVE CIR NMaple Grove, MN 55369-4469
Mailing Address15300 Grove Cir NMaple Grove, MN 55369-4469
Sole ProprietorNo
Enumeration DateApril 2, 2015
NPI 1194110411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MN · 120507
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.
15300 GROVE CIR N, Maple Grove, MN 55369

Other Providers at the Same Location NPPES 14

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

Pharmacist (Ambulatory Care)
15300 GROVE CIR N
MAPLE GROVE, MN 55369
Pharmacist
15300 GROVE CIR N, T2223
MAPLE GROVE, MN 55369
Pharmacist
15300 GROVE CIR N
MAPLE GROVE, MN 55369
Pharmacy
15300 GROVE CIR N
MAPLE GROVE, MN 55369
Optometrist
15300 GROVE CIR N
MAPLE GROVE, MN 55369
Pharmacy (Community/Retail Pharmacy)
15300 GROVE CIR N
MAPLE GROVE, MN 55369
Eyewear Supplier
15300 GROVE CIR N
MAPLE GROVE, MN 55369
Pharmacist
15300 GROVE CIR N
MAPLE GROVE, MN 55369

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 Carly Jordan's NPI number?

The NPI number for Carly Jordan is 1194110411. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Carly Jordan located?

Carly Jordan practices at 15300 Grove Cir N, Maple Grove, MN 55369. The listed phone number is (763) 447-2507.

What is Carly 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 Carly Jordan was last updated on April 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.