Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Jordan Summers , PharmD

Pharmacist β€’ Big Stone Gap, VA

Active NPI 1255889770 Individual Practitioner Female Practitioner
Practice location in NPPES

605 Wood Ave E
Big Stone Gap, VA 242193021

Call 2765234795 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

605 Wood Ave E

Big Stone Gap, VA 242193021

Telephone 2765234795
Organization at the Same NPPES Address or Phone
Virginia Cvs Pharmacy Llc Facility NPI 1154424802

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Kingsport, TN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

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 Big Stone Gap and Virginia

8 active clinicians are listed under Pharmacist with a practice address in Big Stone Gap, VA (6,588 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

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: 2020-11-17
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES VA 0202214964

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

License # reported to NPPES TN 40749

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.

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: Virginia Department of Health Professions.
Look Up on State Board Site

Secondary Practice Locations

1805 E Stone Dr

Kingsport, TN 376604605

Phone: 4232467291

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location November 17, 2020

Registered at 605 WOOD AVE E, BIG STONE GAP, VA 242193021 (Tel: 2765234795)

πŸ“
Updated Business Mailing Address November 17, 2020

Registered at 605 WOOD AVE E, BIG STONE GAP, VA 242193021

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2020

Pharmacist (license number reported to NPPES: VA 0202214964)

βœ…
NPI Profile Active September 13, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 13, 2016

Registered at 1805 E STONE DR, KINGSPORT, TN 376604605 (Tel: 4232467291)

πŸ“
Business Mailing Address (Initial Record) September 13, 2016

Registered at PO BOX 948, CASTLEWOOD, VA 242240948

πŸ‘€
Provider Name / Credentials (Initial Record) September 13, 2016

Recorded as JORDAN SUMMERS, PHARMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2016

Pharmacist (license number reported to NPPES: TN 40749)

🟒
Initial NPI Registration & Enumeration September 13, 2016

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1255889770
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2016
Last Update: November 17, 2020
Sole Proprietor: Yes

Mailing Address

605 Wood Ave E

Big Stone Gap, VA 242193021

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.