National Provider Identifier
Jordan Shae Burkdoll, PHARMD
Jordan Shae Burkdoll, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Batavia, NY and a listed phone number of (585) 344-6646.
Profile Overview
- NPI
- 1164137154
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- January 16, 2023
- Last Updated
- January 16, 2023
Practice Location
- 4250 Federal Dr
- Batavia, NY 14020-1094
Phone: (585) 344-6646
Mailing Address
- 4250 Federal Dr
- Attn: Ihsc Pharmacy
- Batavia, NY 14020-1094
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1164137154
- Entity Type
- Individual
- Last Name
- Burkdoll
- First Name
- Jordan
- Middle Name
- Shae
- Name Prefix
- Dr.
- Credential
- PHARMD
- Mailing Street Address
- 4250 Federal Dr
- Mailing Address Line 2
- Attn: Ihsc Pharmacy
- Mailing City
- Batavia
- Mailing State
- NY
- Mailing ZIP Code
- 14020-1094
- Mailing Country
- US
- Mailing Phone
- (585) 344-6646
- Practice Street Address
- 4250 Federal Dr
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-1094
- Practice Country
- US
- Practice Phone
- (585) 344-6646
- Enumeration Date
- January 16, 2023
- Last Updated
- January 16, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 04, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)