Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407336571 Individual Practitioner Female Practitioner

Jordan Kennedy Smith

Pharmacist • Lucedale, MS

Professional Overview & Biography Verified Profile Summary

Jordan Smith is a registered healthcare professional specializing in Pharmacist in Lucedale, MS. Practice services are available at 11228 OLD 63 S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11228 Old 63 S

Lucedale, MS 394524945

Telephone 6019474287
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1558389080

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Lucedale, MS

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

Practicing in Lucedale, MS (2321 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MS E-15508

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 License Number
E-15508 (MS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1083016778

Doctor of Pharmacy (Pharm.D.)

NPI 1184431520

Doctor of Pharmacy (Pharm.D.)

NPI 1407224207

Doctor of Pharmacy (Pharm.D.)

Linda Le , RPH

Pharmacist

NPI 1952901589

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 18, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2018

Registered at 11228 OLD 63 S, LUCEDALE, MS 394524945 (Tel: 6019474287)

📍
Updated Business Mailing Address August 18, 2018

Registered at 8001 COUNTY ROAD 514, MERIDIAN, MS 393019276

👤
Provider Name / Credentials Updated August 18, 2018

Recorded as JORDAN SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2018

Pharmacist (License #E-15508 in MS)

🟢
Initial NPI Registration & Enumeration August 18, 2018

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: 1407336571
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2018
Last Update: August 18, 2018
Sole Proprietor: Yes

Mailing Address

8001 County Road 514

Meridian, MS 393019276

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.