Active NPI
Shondranika Cerise Ford, PHARMD
- Pharmacist
- Ashdown, AR
National Provider Identifier
1134729924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD14659
- Practice address
- 297 Hwy 32 Bypass E
Ashdown, AR 71822 - Phone
- (870) 898-2142
- NPI assigned
- Oct 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 65407 | TX | |
| Pharmacist | 183500000X | PST.022920 | LA | |
| Pharmacist | 183500000X | PD14659 | AR | Primary |
Addresses
Primary practice location
297 Hwy 32 Bypass E
Ashdown, AR 71822
Mailing address
297 Hwy 32 Bypass E
Ashdown, AR 71822
Phone (870) 898-2142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD14659 | AR | MD | Pharmacist |
| PST.022920 | LA | MD | Pharmacist |
| 65407 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Ashdown, AR
- NPI 1871510271
-
- Community/Retail Pharmacy
- Eastvale, CA
- NPI 1770458945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1134729924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "297 HWY 32 BYPASS E",
"city": "ASHDOWN",
"state": "AR",
"postal_code": "71822",
"telephone_number": "870-898-2142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "297 HWY 32 BYPASS E",
"city": "ASHDOWN",
"state": "AR",
"postal_code": "71822",
"telephone_number": "870-898-2142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "SHONDRANIKA",
"middle_name": "CERISE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-29",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "65407",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.022920",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD14659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashdown, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.