Individual provider · Type 1 NPI

Jordan Luke Ellstrom, PharmD

Pharmacist · Phoenix, AZ

NPI number 1598281172 Active

Practice location

4212 N 16th St
Phoenix, AZ 85016-5319

Call (602) 263-1200 Map

Fax (602) 263-1619

Mailing address

PO Box 95460
Cleveland, OH 44101-0033

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XS022691 (AZ)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1598281172

Jordan Luke Ellstrom, PharmD's National Provider Identifier is 1598281172, issued on Aug 16, 2017. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 28, 2026.