Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN RYLEY KRUMANOCKER, CPP, PHARMD
ActiveJORDAN RYLEY KRUMANOCKER, CPP, PHARMD is a Pharmacist Clinician (PhC) healthcare provider located in SHALLOTTE, North Carolina. NPI 1740012731 is currently active in the NPPES registry. Verify at CMS.
Pharmacist Clinician (PhC) · SHALLOTTE, NC
Registration Details
- NPI Number
- 1740012731
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 17, 2024 (1.812062241695 yrs)
- Last Updated
- Aug 25, 2025
- Licenses
-
31359 (NC)700557 (NC)
Practice Information
- Address
-
5145 SELLERS RDSHALLOTTE, NC, 284703405Browse NC providers · Browse ZIP 28470
- Phone
- 9107544441
- Fax
- 9107545307
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
- Additional Specialty
- Pharmacist Clinician (PhC)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.