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

Carl Richard Jordan, RPH

Individual provider Pharmacist · NPI 1356460752

Carl Richard Jordan, RPH is a Pharmacist in East Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

302 Harbor Pointe Dr
East Peoria, IL 61611-5802
Phone: (309) 698-1050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051027221 (IL)

Record details

NPI number1356460752
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedMarch 28, 2007
Last updated in NPPESJuly 8, 2007

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