JORDAN RYLEY KRUMANOCKER CPP, PHARMD
NPI 1740012731
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Shallotte, NC

Q: What is Jordan Krumanocker's NPI number?

The NPI number for Jordan Krumanocker is 1740012731. It was assigned to this individual provider in the NPPES registry on August 17, 2024.

Q: What is Jordan Krumanocker's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

Active since August 17, 2024

5145 SELLERS RD, SHALLOTTE, NC 28470(910) 754-4441(910) 754-5307 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2024, Aug 17, 2024 (2 updates tracked since 2024).

On this page

About Jordan Ryley Krumanocker Cpp, Pharmd NPPES

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

JORDAN RYLEY KRUMANOCKER CPP, PHARMD (NPI 1740012731) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Shallotte, North Carolina, licensed in North Carolina (700557) and active in the NPI registry since August 2024. She maintains a secondary practice location in Mocksville.

NPPES Registry Identity

NPI1740012731

Entity TypeIndividualFemale

Primary Taxonomy1835P0018X

Provider Legal NameJORDAN RYLEY KRUMANOCKERCredential: CPP, PHARMD

Location Address5145 SELLERS RDShallotte, NC 28470-3405

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(910) 754-4441

Fax(910) 754-5307

Sole ProprietorNo

Enumeration DateAugust 17, 2024

Last NPPES UpdateAugust 25, 20252 updates tracked since enumeration

NPPES CertifiedAugust 25, 2025

✔ NPI 1740012731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers

Taxonomy Code1835P0018X

License✔ Licensed in NC · 700557

Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Also ListedPharmacistTaxonomy 183500000X · License 31359 (NC)

5145 SELLERS RD, Shallotte, NC 28470

Open in Google Maps ↗

Secondary Practice Location 1

Location 1485 Valley RdMocksville, NC 27028-2074 · Phone (336) 751-8000 · Fax (336) 751-8010

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.

KATY FLINN JOHNSON PA-C

Physician Assistant