Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275118713 Individual Practitioner Male Practitioner

Jeffrey Dean Gordon , RPH

Pharmacist • Fridley, MN

Professional Overview & Biography Verified Profile Summary

Jeffrey Gordon, RPH is a registered healthcare professional specializing in Pharmacist in Fridley, MN. Practice services are available at 8400 UNIVERSITY AV NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8400 University Av Ne

Fridley, MN 55432

Telephone 6512698796

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Fridley, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
34 Specialists

Practicing in Fridley, MN (4994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-04
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MN 112313

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Board If Pharmacy
112313 (MN)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 16, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 16, 2021

Registered at 8400 UNIVERSITY AV NE, FRIDLEY, MN 55432 (Tel: 6512698796)

📍
Updated Business Mailing Address March 16, 2021

Registered at 1528 BERNE RD NE, FRIDLEY, MN 554211325 (Tel: 6512698796)

👤
Provider Name / Credentials Updated March 16, 2021

Recorded as JEFFREY GORDON, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2021

Pharmacist (License #112313 in MN)

🟢
Initial NPI Registration & Enumeration March 16, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275118713
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2021
Last Update: March 16, 2021
Sole Proprietor: No

Mailing Address

1528 Berne Rd Ne

Fridley, MN 554211325

Phone: 6512698796

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.