Dr. Jordan David Rupp, PHARMD
Dr. Jordan David Rupp is a Pharmacist provider (Pharmacist) practicing in Eagle Mountain, UT, registered in the NPPES registry with NPI 1114645082 since 2022. The credential PHARMD stands for Doctor of Pharmacy. Practices at Ridleys Family Markets Inc (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114645082 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Jordan David Rupp |
| Credential | PHARMD |
| Sex | Male |
| Practice address | 4045 E PONY EXPRESS PKWY, Eagle Mountain, UT, 84005 |
| Phone | 8017894997 |
| Enumeration date | 2022-08-17 |
| Last updated in NPPES | 2022-08-17 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 183500000X | Pharmacist | Primary | 7720480-1701 | UT |
PHARMD — Doctor of Pharmacy: A licensed pharmacist with a professional doctorate in pharmacy. About the PHARMD credential
Copy-ready billing details
Provider: Jordan Rupp, PHARMD NPI: 1114645082 Taxonomy: 183500000X (Pharmacist) Address: 4045 E PONY EXPRESS PKWY, Eagle Mountain, UT, 84005
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1548681877 | Ridleys Family Markets Inc | Organization | Community/Retail Pharmacy | Eagle Mountain, UT |
| 1720647720 | Erwin Lass | Individual | Pharmacist | Eagle Mountain, UT |
| 1164266870 | Michael Stucki | Individual | Pharmacist | Eagle Mountain, UT |
Verify this record
Cross-check NPI 1114645082 against the authoritative CMS record: view Dr. Jordan David Rupp on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Is NPI 1114645082 active?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-08-17.