Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gary M Jordan, RPH

Individual provider Pharmacist · NPI 1477731255

Gary M Jordan, RPH is a Pharmacist in Coram, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

294 Middle Country Rd
Coram, NY 11727-4428 Not confirmed with CMS for 14 years — call before visiting
Phone: (631) 736-5168
Fax: (631) 736-5733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 030503-1 (NY)

Record details

NPI number1477731255
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedFebruary 5, 2008
Last updated in NPPESJanuary 4, 2012

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