IndividualActive
Raven Jordan, PHARMD
NPI 1679177240 · Pharmacist · Fayetteville, GA
Raven Jordan, PHARMD is a Pharmacist provider in Fayetteville, GA (NPI 1679177240).
Provider details
- NPI number
- 1679177240
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- RPH031159 (GA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
107 Pavilion Pkwy
Fayetteville, GA 30214-4098
Phone: (770) 371-1200
Fax: (678) 734-9931
Street-level locationGet directions
Mailing address
5940 Catawba Way
Atlanta, GA 30349-1559
Registry dates
- Enumerated
- 2020-11-24
- Last updated
- 2020-11-24
- Certified
- 2020-11-24
Frequently asked questions
- What is Raven Jordan's NPI number?
- Raven Jordan's National Provider Identifier (NPI) is 1679177240, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raven Jordan's specialty?
- Raven Jordan is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Raven Jordan located?
- Raven Jordan's practice location on file with NPPES is 107 Pavilion Pkwy, Fayetteville, GA 30214-4098.
- What is Raven Jordan's phone number?
- The practice phone number listed in the NPPES registry for Raven Jordan is (770) 371-1200.
- Is Raven Jordan's NPI active?
- Yes — Raven Jordan's NPI (1679177240) is active in the NPPES registry as of the last update on 2020-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.