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

Dr. Shane Jordan

Individual provider Pharmacist · NPI 1104145606

Dr. Shane Jordan is a Pharmacist in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010

Practice location Address checks out

4445 US Highway 98 N
Lakeland, FL 33809-0402
Phone: (863) 815-2343
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS45173 (FL)

Record details

NPI number1104145606
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 24, 2010
Last updated in NPPESMay 24, 2010
Mailing address1834 Grey Fox Dr, Lakeland, FL 33810-2069

Other providers in Lakeland