Organization
JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC
Active
Organization
JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC
Active
Other names
BARBARA J. JORDAN PHARMACY, Barbara Jordan Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN R. HAWKINS (PRESIDENT & CEO)
(305) 805-1700
Entity
Organization
Contact information
Practice address
20612 NW 27TH AVENUE, MIAMI GARDENS, FL 33056
(305) 835-1615
(305) 474-7004
Mailing address
5607 NW 27TH AVENUE, SUITE 1, MIAMI, FL 33142
(305) 499-1928
(305) 634-1845
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113009000
—
FL
01
—
PH33678
STATE LICENSE NUMBER
FL
Enumeration date
12/22/2021
Last updated
08/06/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up