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

Roger Stephen Jordan, PHARMACIST

Individual provider Pharmacist · NPI 1679872840

Roger Stephen Jordan, PHARMACIST is a Pharmacist in Fayetteville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2011

Practice location Address checks out

800 Glynn St N
Fayetteville, GA 30214-7360
Phone: (770) 461-1241
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 10674 (GA)

Record details

NPI number1679872840
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMACIST
Sole proprietorYes
NPI enumeratedMarch 27, 2011
Last updated in NPPESMarch 27, 2011
Mailing address800 Glynn St N, Fayetteville, GA 30214-7360

Other providers in Fayetteville