CARL RICHARD JORDAN R.PH.
NPI 1356460752
Pharmacist in East Peoria, IL

Active since March 28, 2007
302 HARBOR POINTE DR, EAST PEORIA, IL 61611(309) 698-1050 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carl Richard Jordan R.ph. NPPES

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

CARL RICHARD JORDAN R.PH. (NPI 1356460752) is an individual pharmacist in East Peoria, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1356460752
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameCARL RICHARD JORDANCredential: R.PH.
Location Address302 HARBOR POINTE DREast Peoria, IL 61611-5802
Mailing Address302 Harbor Pointe DrEast Peoria, IL 61611-5802 · (309) 698-1050
Sole ProprietorYes
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1356460752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
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.
302 HARBOR POINTE DR, East Peoria, IL 61611

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 Carl Jordan's NPI number?

The NPI number for Carl Jordan is 1356460752. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Carl Jordan located?

Carl Jordan practices at 302 Harbor Pointe Dr, East Peoria, IL 61611. The listed phone number is (309) 698-1050.

What is Carl 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 Carl Jordan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.