=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649724733
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JORDAN & GUIRGUIS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/07/2016
-----------------------------------------------------
Last Update Date | 09/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5829 US HIGHWAY 301 S
-----------------------------------------------------
City | FOUR OAKS
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27524-9327
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-963-3535
-----------------------------------------------------
Fax | 919-963-3533
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1051
-----------------------------------------------------
City | FOUR OAKS
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27524-1051
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-963-3535
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | REGISTERED PHARMACIST
-----------------------------------------------------
Name | EMILY JORDAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 919-915-2824
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 13020
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------