Provider Demographics
NPI:1750619151
Name:JORDAN, APRIL GAY
Entity type:Individual
Prefix:MS
First Name:APRIL
Middle Name:GAY
Last Name:JORDAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:APRIL
Other - Middle Name:GAY
Other - Last Name:MCMAHON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1 NOBLE RUN
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-1662
Mailing Address - Country:US
Mailing Address - Phone:281-358-9275
Mailing Address - Fax:
Practice Address - Street 1:101 S WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-4414
Practice Address - Country:US
Practice Address - Phone:281-592-0491
Practice Address - Fax:281-592-0459
Is Sole Proprietor?:No
Enumeration Date:2009-11-23
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44178183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist