NPIMap

Organization Active NPI

Jefferson Community Health Care Centers Inc

Doing business as InclusivCare

  • Community/Retail Pharmacy
  • Avondale, LA
National Provider Identifier
1255977245
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JEFFERSON COMMUNITY HEALTH CARE CENTERS INC
Doing business as
InclusivCare
Practice address
3932 Highway 90 W
Avondale, LA 70094-2648
Phone
(504) 302-1589
Fax
(504) 267-4737
NPI assigned
Nov 25, 2019
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shondra Williams
Title
Ceo
Phone
(504) 341-4006

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

3932 Highway 90 W
Avondale, LA 70094-2648

Mailing address

4028 Highway 90 W
Avondale, LA 70094-2622
Phone (543) 341-4006

Other names 1

  • InclusivCare Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL EMR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200612001681 LA Part B Supplier - Pharmacy 7911961115 1 other NPI on this enrollment
Practice locations: Marrero, LA; Avondale, LA

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Inclusivcare16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

4028 Highway 90 W
Avondale, LA 70094
Phone (504) 436-2223

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1255977245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 HIGHWAY 90 W",
            "city": "AVONDALE",
            "state": "LA",
            "postal_code": "700942622",
            "telephone_number": "543-341-4006",
            "fax_number": "504-267-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3932 HIGHWAY 90 W",
            "city": "AVONDALE",
            "state": "LA",
            "postal_code": "700942648",
            "telephone_number": "504-302-1589",
            "fax_number": "504-267-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COMMUNITY HEALTH CARE CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHONDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-341-4006"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "3932 Highway 90 W",
            "city": "Avondale",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700942648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "InclusivCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avondale, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.