JORDAN PHARMACY
NPI 1578660411
Pharmacy - Community/Retail Pharmacy in Hamilton, TX

Q: What is Jordan Pharmacy Inc's NPI number?

The NPI number for Jordan Pharmacy Inc is 1578660411. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Jordan Pharmacy.

Q: What is Jordan Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since September 20, 2006CLIA 45D2196781 · Waiver

107 N RICE ST, HAMILTON, TX 76531(254) 386-3111(254) 386-8844 Get Directions Write a Review

NPPES record last updated: April 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2017, Feb 20, 2017, Dec 30, 2015 (3 updates tracked since 2015).

On this page

About Jordan Pharmacy NPPES

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

JORDAN PHARMACY (NPI 1578660411) is a healthcare organization registered as a community/retail pharmacy in Hamilton, Texas and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through October 19, 2026 and lists Jan Pattillo, Owner, as its authorized official.

NPPES Registry Identity

NPI1578660411

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameJORDAN PHARMACY INC

Location Address107 N RICE STHamilton, TX 76531-1857

Mailing Address107 N Rice StHamilton, TX 76531-1857 · (254) 386-3111 · Fax (254) 386-8844

Phone(254) 386-3111

Fax(254) 386-8844

Organization SubpartNo

Authorized OfficialJan PattilloOwner · (254) 386-3111

Enumeration DateSeptember 20, 2006

Last NPPES UpdateApril 14, 20173 updates tracked since enumeration

✔ NPI 1578660411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in TX · 21958

Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X

107 N RICE ST, Hamilton, TX 76531

Open in Google Maps ↗

Other Names 1

Doing Business AsJordan Pharmacy

Other Identifiers 3

Medicare NSC4544550001

Other2096994Pk

Medicaid0145199TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Humana, Medica and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2196781

Jordan Pharmacy, Inc · Hamilton, TX

Active · expires Oct 19, 2026

CLIA Number45D2196781

Laboratory TypePharmacy

Certificate Effective DateOctober 20, 2024

Certificate Expiration DateOctober 19, 2026

Laboratory DirectorJan Pattillo

Laboratory Phone(254) 386-3111

Laboratory LocationJordan Pharmacy, Inc107 N Rice, Hamilton, TX 76531

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 64

Medicare supplier enrollment and the product categories Jordan Pharmacy Inc. carries, from the Medicare DMEPOS supplier directory.

Jordan Pharmacy Inc.

DMEPOS supplier · Hamilton, TX

⋮

Does not accept Medicare assignment

Jordan Pharmacy Inc. has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20573627

Medicare Participant SinceMay 31, 2006

Supplier Location107 N Rice StHamilton, TX 76531

Phone(254) 386-3111

Supplier Specialties

Pharmacy

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Automatic Ext Defibrillator (AEDS) and/or Supplies

Home defibrillators, Wearable defibrillators, Replacement batteries, Replacement electrodes

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Contracture Treatment Devices: Dynamic Splint

Dynamic splinting devices for the knee, elbow, wrist, finger, or toe

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Blood Glucose Monitors/Supplies (Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Gastric Suction Pumps

Portable suction pumps, Stationary suction pumps, Canisters

Heat & Cold Applications

Heat therapy, Cold therapy, Heating pads

Hospital Beds (Electric)

Total electric hospital beds, Semi-electric hospital beds

Hospital Beds (Manual)

Fixed height hospital beds, Variable height hospital beds

Infrared Heating Pads Systems and/or Supplies

Infrared Heating Pad Systems, Replacement Pads

External Infusion Pumps and/or Supplies

An infusion pump is necessary to safely administer the drug

Insulin Infusion Pumps and/or Supplies

Disposable Insulin Delivery System, Mechanical insulin infusion pumps, Needle type infusion sets, Cannula type infusion sets

Negative Pressure Wound Therapy Pumps/Supplies

Wound care sets, Pumps, Canisters

Neuromuscular Elect Stimulators (NMES)/Supplies

Electrodes, lead wires, adhesive tape

Pneumatic Compression Devices and/or Supplies

Pnuematic compressor, Arm pneumatic appliance, Leg pneumatic appliance

Speech Generating Devices

Digitized speech devices, Synthesized speech devices

Support Surfaces: Pressure Reducing Beds/Mats/Pads

Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed

Traction Equipment

Traction tables, Traction machines, Inversion tables

(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies

Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain

Ultraviolet Light Devices and/or Supplies

Hand-held phototherapy devices, UV light therapy panels, Multidirectional light therapy

Canes and/or Crutches

Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches

Patient Lifts

Ceiling lifts, Slings

Power Operated Vehicles (Scooters)

Scooters

Seat Lift Mechanisms

Lift chair

Walkers

Standard Walkers, Wheeled Walkers, Folding Walker

Wheelchairs (Standard Manual)

Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Manual Related Accessories)

Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Power)

Standard power wheelchairs, Heavy duty standard power wheelchairs

Wheelchairs (Standard Power Related Accessories)

Accessories for standard power wheelchairs, heavy duty standard power wheelchairs

Wheelchairs (Complex Rehabilitative Manual)

Complex rehabilitative manual wheelchairs

Wheelchairs (Complex Rehab Manual Rel Accessories)

Complex rehabilitative manual wheelchairs

Wheelchairs (Complex Rehabilitative Power)

Complex rehabilitative power wheelchairs

Wheelchairs (Complex Rehab Power Rel Accessories)

Complex rehabilitative power wheelchairs

Wheelchair Seating/Cushions

Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests

Orthoses: Off-The-Shelf

Met pads, Heel pads, Heel spur pads

Penile Pumps

Breast Prostheses and/or Accessories

Prosthetic bra, Surgical bra

Neurostimulators and/or Supplies

Rechargable neurostimulators, Non-rechargable neurostimulators

Ostomy Supplies

Pouches, Paste, Powder, Barrier wipes

Somatic Prostheses

Finger prosthesis, Hand prosthesis, Toe prosthesis

Urological Supplies

Catheters, Urinary collection devices

Voice Prosthetics

Electronic Larynx, Voice amplifier

Enteral Nutrients

Enteral formula

Enteral Equipment and/or Supplies

Enteral infusion pumps, enteral nutrition supply kits

Parenteral Nutrients

Parenteral nutrient solutions

Parenteral Equipment and/or Supplies

Parenteral infusion pumps, parenteral nutrition supply kits

Limb Prostheses

Prosthetic arms, Prosthetic feet, Prosthetic knees

High Freq Chest Wall Oscillation Devices/Supplies

Generator system, Vest, Hoses

Intermittent Positive Pressure Breathing IPPB DEV

Intermittent assist devices

Intrapulmonary Percussive Ventilation Devices

Intrapulmonary percussive ventilation compressor, hand held units, tubing

Nebulizer Equipment and/or Supplies

Nebulizers, Atomizers, Filters

Oxygen Equipment and/or Supplies

Portable oxygen systems, Oxygen concentrators, Oxygen contents

Respiratory Assist Devices

Respiratory Suction Pumps

Portable suction pumps, Stationary suction pumps, Canisters

Ventilators Accessories and/or Supplies

Volume control ventilator, Pressure support ventilator

Surgical Dressings

Gauze, Elastic bandages, Adhesive tape

Diabetic Shoes and Inserts

Shoes, Socks, Insoles

Diabetic Shoes/Inserts - Custom

Custom fabricated shoes, socks, & insoles

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

JAN HOLLEY PATTILLO RPH

Pharmacist

107 N RICE ST
HAMILTON, TX 76531

Hamilton County (254) 386-3111

P&P PHARMACY GROUP LLC

Pharmacy (Community/Retail Pharmacy)

107 N RICE ST
HAMILTON, TX 76531

Hamilton County (254) 386-3111

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 Jordan Pharmacy Inc's NPI number?

The NPI number for Jordan Pharmacy Inc is 1578660411. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Jordan Pharmacy.

Where is Jordan Pharmacy Inc located?

Jordan Pharmacy Inc is located at 107 N Rice St, Hamilton, TX 76531. The listed phone number is (254) 386-3111.

What is Jordan Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Jordan Pharmacy Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Jordan Pharmacy Inc. does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Jordan Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2196781) is associated with this NPI, valid through October 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jordan Pharmacy Inc accept?

Health plans from Baylor Scott and White Health Plan, Humana, Medica, Moda Health Plan, Inc. and Molina Healthcare and 2 other insurers list Jordan Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Pharmacy Inc was last updated on April 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.