DR. JORDAN LYNN BRAZEAL PHARM.D.
NPI 1568730091
Pharmacist in Pine Bluff, AR

Active since December 12, 2011
4010 S MULBERRY ST, PINE BLUFF, AR 71603(870) 541-6044(870) 541-7601 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jordan Lynn Brazeal Pharm.d. NPPES

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

DR. JORDAN LYNN BRAZEAL PHARM.D. (NPI 1568730091) is an individual pharmacist in Pine Bluff, Arkansas, licensed in Arkansas (PD11871) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1568730091
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. JORDAN LYNN BRAZEALCredential: PHARM.D.
Location Address4010 S MULBERRY STPine Bluff, AR 71603-7000
Mailing Address4010 S Mulberry StPine Bluff, AR 71603-7000 · (870) 541-6044 · Fax (870) 541-7601
Fax(870) 541-7601
Sole ProprietorYes
Enumeration DateDecember 12, 2011
Last NPPES UpdateJanuary 17, 2014
NPI 1568730091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in AR · PD11871
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.

4010 S MULBERRY ST, Pine Bluff, AR 71603

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Psychiatry)
4010 S MULBERRY ST
PINE BLUFF, AR 71603
Social Worker (Clinical)
4010 S MULBERRY ST
PINE BLUFF, AR 71603
Family Medicine
4010 S MULBERRY ST
PINE BLUFF, AR 71603
Nurse Practitioner
4010 S MULBERRY ST
PINE BLUFF, AR 71603
Family Medicine
4010 S MULBERRY ST
PINE BLUFF, AR 71603
Family Medicine
4010 S MULBERRY ST
PINE BLUFF, AR 71603
Specialist/Technologist, Pathology (Medical Technologist)
4010 S MULBERRY ST
PINE BLUFF, AR 71603
Family Medicine
4010 S MULBERRY ST
PINE BLUFF, AR 71603

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568730091, enumerated as an "individual" on December 12, 2011.

The provider is located at 4010 S MULBERRY ST PINE BLUFF, AR 71603 and the phone number is (870) 541-6044.

Pharmacist with taxonomy code 183500000X.