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JORDAN CHASE ILIC PHARMD
NPI 1740778430
Pharmacist in Clarksville, TN

Active since April 27, 2018
3050 WILMA RUDOLPH BLVD, CLARKSVILLE, TN 37040(931) 552-0241 Get Directions Write a Review

NPPES record last updated: April 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Chase Ilic Pharmd NPPES

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

JORDAN CHASE ILIC PHARMD (NPI 1740778430) is an individual pharmacist in Clarksville, Tennessee, licensed in Tennessee (38240) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1740778430
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJORDAN CHASE ILICCredential: PHARMD
Location Address3050 WILMA RUDOLPH BLVDClarksville, TN 37040-5031
Mailing Address3050 Wilma Rudolph BlvdClarksville, TN 37040-5031 · (931) 552-0241
Phone(931) 552-0241
Sole ProprietorNo
Enumeration DateApril 27, 2018
✔ NPI 1740778430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in TN · 38240✔ Licensed in KY · 17214
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.
3050 WILMA RUDOLPH BLVD, Clarksville, TN 37040
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Other Providers at the Same Location NPPES 4

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

GREG RAY, O.D., INC
Optometrist
3050 WILMA RUDOLPH BLVD
CLARKSVILLE, TN 37040
Montgomery County (931) 906-4446
WAL-MART STORES EAST, LP
Eyewear Supplier
3050 WILMA RUDOLPH BLVD
CLARKSVILLE, TN 37040
Montgomery County (931) 553-8127
DR. BERTON CLAY STIMSON PHARM D.
Pharmacist
3050 WILMA RUDOLPH BLVD
CLARKSVILLE, TN 37040
Montgomery County (931) 552-0264
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
3050 WILMA RUDOLPH BLVD
CLARKSVILLE, TN 37040
Montgomery County (931) 552-0241

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 Ilic's NPI number?

The NPI number for Jordan Ilic is 1740778430. It was assigned to this individual provider in the NPPES registry on April 27, 2018.

Where is Jordan Ilic located?

Jordan Ilic practices at 3050 Wilma Rudolph Blvd, Clarksville, TN 37040. The listed phone number is (931) 552-0241.

What is Jordan Ilic'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 Ilic was last updated on April 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.