NPI 1013269778

Jordan Royce Newman, RPHPHARMD

Practitioner Pharmacist Grand Rapids, MI

Practice location

Address: 1540 28th St SE, Grand Rapids, MI 49508-1412
Phone: (616) 452-3142
Fax: (616) 248-2665

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 5302039457 (MI)

Other Pharmacist providers in Michigan →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 016647 (KY)

Registry record

NPI: 1013269778
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Oct 2012
Record last updated: 21 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.