Jordon Baker Acquisitions, INC.
Pharmacy, Community/Retail Pharmacy in Bakersville, NC. Organization (NPI-2).
NPI number1336747872
StatusActive
Last updated in NPPESAug 4, 2024
Details
- NPI
- 1336747872
- Entity type
- Organization (NPI-2)
- Legal business name
- Jordon Baker Acquisitions, INC.
- Organization subpart
- Yes
- Enumeration date
- Oct 16, 2020
- Certification date
- Aug 4, 2024
- Last updated
- Aug 4, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Roan Mountain Pharmacy Of Bakersville (Doing Business As)
Practice location
604 S Hwy 226Bakersville, NC 28705
Phone 828-820-8058 · Fax 931-401-4671
Mailing address
8251 Highway 19 ERoan Mountain, TN 37687-3343
Phone 423-772-3591
Authorized official
Jordon Thomas Baker
Ceo / President
4237723591
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