Jessica Bordelon, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

019160 Issued in LA

Practice address

2495 Shreveport Hwy
Pineville, LA 71360-4044

Phone

(318) 473-0010

NPI assigned

Mar 24, 2021

Last updated

May 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Louisiana CVS Pharmacy LLC

  dba CVS Pharmacy #17881

  • Pharmacy
  • Mandeville, LA
  • NPI 1619695848
  NPD (past)
• Louisiana CVS Pharmacy, L.L.C.

  dba CVS Pharmacy #05607

  • Pharmacy
  • Alexandria, LA
  • NPI 1407950314
  NPD (past)

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1427635895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SHADOW WOOD DR",
            "city": "BOYCE",
            "state": "LA",
            "postal_code": "714099904",
            "telephone_number": "318-542-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 SHREVEPORT HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604044",
            "telephone_number": "318-473-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDELON",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "019160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA BOARD OF PHARMACY LICENSE NUMBER",
            "identifier": "019160",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Blank Bonnette, LCSW
• Rama Boppana
• Vijaya L. Boppana, M.D.
• Benjamin Paul Bordelon
• Danna Dyess Bordelon, M.S.W., L.C.S.W.
• Sabrina Jewel Bordelon, LCSW
• Wendy Williams Bordelon, MSW, LCSW, BACS
• Paul Borrel, RPH
• Dennis Clyde Botts, LCSW
• Kenneth W Boudreaux, R.PH.

• Pharmacist in Pineville, LA
• Providers in Pineville, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.