IndividualActive
Carl Jordan, R.PH.
NPI 1356460752 · Pharmacist · East Peoria, IL
Provider details
- NPI number
- 1356460752
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- R.PH.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 051027221 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
302 Harbor Pointe Dr
East Peoria, IL 61611-5802
Phone: (309) 698-1050
Street-level locationGet directions
Mailing address
302 Harbor Pointe Dr
East Peoria, IL 61611-5802
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.