RAVEN NATASHA JORDAN PHARMD
NPI 1679177240
Pharmacist in Fayetteville, GA

Active since November 24, 2020
107 PAVILION PKWY, FAYETTEVILLE, GA 30214(770) 371-1200(678) 734-9931 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Raven Natasha Jordan Pharmd NPPES

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

RAVEN NATASHA JORDAN PHARMD (NPI 1679177240) is an individual pharmacist in Fayetteville, Georgia, licensed in Georgia (RPH031159) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1679177240
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameRAVEN NATASHA JORDANCredential: PHARMD
Location Address107 PAVILION PKWYFayetteville, GA 30214-4098
Mailing Address5940 Catawba WayAtlanta, GA 30349-1559
Fax(678) 734-9931
Sole ProprietorNo
Enumeration DateNovember 24, 2020
NPPES CertifiedNovember 24, 2020
NPI 1679177240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in GA · RPH031159
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.

107 PAVILION PKWY, Fayetteville, GA 30214

Other Providers at the Same Location NPPES 7

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

Pharmacist
107 PAVILION PKWY
FAYETTEVILLE, GA 30214
Pharmacist
107 PAVILION PKWY
FAYETTEVILLE, GA 30214
Pharmacist
107 PAVILION PKWY
FAYETTEVILLE, GA 30214
Pharmacist
107 PAVILION PKWY
FAYETTEVILLE, GA 30214
Pharmacist
107 PAVILION PKWY
FAYETTEVILLE, GA 30214
Pharmacy
107 PAVILION PKWY
FAYETTEVILLE, GA 30214
Pharmacist
107 PAVILION PKWY
FAYETTEVILLE, GA 30214

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 Raven Jordan's NPI number?

The NPI number for Raven Jordan is 1679177240. It was assigned to this individual provider in the NPPES registry on November 24, 2020.

Where is Raven Jordan located?

Raven Jordan practices at 107 Pavilion Pkwy, Fayetteville, GA 30214. The listed phone number is (770) 371-1200.

What is Raven 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 Raven Jordan was last updated on November 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.