IndividualActive
Jordan Mangum, PHARMD
NPI 1982272167 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Washington, DC
Provider details
- NPI number
- 1982272167
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- PH100002824 (DC)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
111 Michigan Ave Nw
Washington, DC 20010-2916
Phone: (202) 476-1301
Approximate (ZIP-level) locationGet directions
Mailing address
1130 K St Se
Washington, DC 20003-4112
Registry dates
- Enumerated
- 2021-06-15
- Last updated
- 2021-06-15
- Certified
- 2021-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.