Healthcare Provider Details

I. General information

NPI: 1437069887
Provider Name (Legal Business Name): JORDON BAKER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 S ERIE ST STE 1
MERCER PA
16137-1555
US

IV. Provider business mailing address

310 W NORTH ST
MERCER PA
16137-1019
US

V. Phone/Fax

Practice location:
  • Phone: 724-662-1414
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP460589
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: