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Dr. Matthew R Jordan , PharmD, MS, BCMTMS

Pharmacist β€’ Eglin Afb, FL

Active NPI 1497282545 Individual Practitioner Male Practitioner
Practice location in NPPES

307 Boatner Rd
Eglin Afb, FL 325421302

Call 8508839384 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

307 Boatner Rd

Eglin Afb, FL 325421302

Telephone 8508839384
Organization at the Same NPPES Address or Phone
96th Medgrp-Eglin Facility NPI 1588647770

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Eglin Afb and Florida

27 active clinicians are listed under Pharmacist with a practice address in Eglin Afb, FL (19,430 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eglin Afb

0% of these 27 clinicians have the CMS telehealth indicator.

0% of these 27 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-04
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES OH 03236712

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.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

25 listed
NPI 1164627790

Doctor of Medicine (M.D.)

NPI 1285898353

Doctor of Medicine (M.D.)

Beverly Carroll , CRNA

Nurse Anesthetist, Certified Registered

NPI 1730173469

Certified Registered Nurse Anesthetist

Gavin Cone

Social Worker

NPI 1659788768
Dr. Augusta Czysz , MD

Emergency Medicine

NPI 1295781789

Doctor of Medicine (M.D.)

Dr. Amanda Dunn , PT, DPT

Physical Therapist - Orthopedic

NPI 1124566369

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

20 Historical Events
πŸ“
Updated Practice Location September 04, 2025

Registered at 307 BOATNER RD, EGLIN AFB, FL 325421302 (Tel: 8508839384)

πŸ“
Updated Business Mailing Address September 04, 2025

Registered at 307 BOATNER RD, EGLIN AFB, FL 325421302 (Tel: 8508839384)

πŸ“
Updated Practice Location June 07, 2023

Registered at 39TH MEDICAL GROUP, UNIT 7095, APO, AE 09824 (Tel: 3146766581)

πŸ“
Updated Practice Location February 23, 2022

Registered at 52D MEDICAL GROUP, UNIT 3690, APO, AE 091260052 (Tel: 3144528212)

πŸ“
Updated Business Mailing Address February 23, 2022

Registered at 52D MEDICAL GROUP, UNIT 3690, APO, AE 09126

πŸ‘€
Provider Name / Credentials Updated February 23, 2022

Recorded as MATTHEW JORDAN, PHARMD, MS, BCMTMS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2022

Military Health Care Provider

βœ…
NPI Profile Active November 17, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location November 17, 2017

Registered at 3458 NEELY ROAD, JB MDL, NJ 08060 (Tel: 6097549464)

πŸ“
Updated Business Mailing Address November 17, 2017

Registered at 32 WELSFORD WAY, MOUNT HOLLY, NJ 08060

πŸ‘€
Provider Name / Credentials Updated November 17, 2017

Recorded as MATTHEW JORDAN, PHARMD, MS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2017

Pharmacist (license number reported to NPPES: OH 03236712)

πŸ“
Updated Business Mailing Address August 07, 2017

Registered at 32 WELSFORD WAY, MOUNT HOLLY, NJ 08060

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2017

Military Health Care Provider

βœ…
NPI Profile Active May 20, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 20, 2017

Registered at 623 LAGRANGE ST, TOLEDO, OH 436041768 (Tel: 4193831967)

πŸ“
Business Mailing Address (Initial Record) May 20, 2017

Registered at 5426 DORR ST APT 11K, TOLEDO, OH 436153649

πŸ‘€
Provider Name / Credentials (Initial Record) May 20, 2017

Recorded as MATTHEW JORDAN, PHARMD, MS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2017

Pharmacy (license number reported to NPPES: OH 06012080)

🟒
Initial NPI Registration & Enumeration May 20, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497282545
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2017
Last Update: September 04, 2025
Sole Proprietor: Yes

Mailing Address

307 Boatner Rd

Eglin Afb, FL 325421302

Phone: 8508839384

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.