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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JORDAN LUKE ELLSTROM PHARM.D.
NPI 1598281172
Pharmacist in Phoenix, AZ

Active since August 16, 2017
4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200(602) 263-1619 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2026, Aug 13, 2025, Aug 16, 2017 (3 updates tracked since 2017).

About Jordan Luke Ellstrom Pharm.d. NPPES

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

JORDAN LUKE ELLSTROM PHARM.D. (NPI 1598281172) is an individual pharmacist in Phoenix, Arizona, licensed in Arizona (S022691) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1598281172
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJORDAN LUKE ELLSTROMCredential: PHARM.D.
Location Address4212 N 16TH STPhoenix, AZ 85016-5319
Mailing AddressPo Box 95460Cleveland, OH 44101-0033 · (602) 581-6076 · Fax (602) 263-1619
Phone(602) 263-1200
Fax(602) 263-1619
Sole ProprietorNo
Enumeration DateAugust 16, 2017
Last NPPES UpdateJuly 28, 20263 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1598281172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in AZ · S022691
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.
4212 N 16TH ST, Phoenix, AZ 85016
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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.

WENDY RAZO
Registered Nurse (Obstetric, High-Risk)
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
THOMAS RYAN HALL RN
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
DR. UMAR IQBAL M.D.
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
SHARLA LOUISE WYATT RN
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
KATELYN WENTWORTH PELTIER PHARMD
Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
LAURA MOLANDER
Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
DR. ADEL M SALAMA M.D.
Internal Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
ANCITA BIGMAN RN
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1511

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 Ellstrom's NPI number?

The NPI number for Jordan Ellstrom is 1598281172. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Where is Jordan Ellstrom located?

Jordan Ellstrom practices at 4212 N 16th St, Phoenix, AZ 85016. The listed phone number is (602) 263-1200.

What is Jordan Ellstrom'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 Jordan Ellstrom was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.