Active NPI
Jada Racham Woolfolk, PHARMD
- Pharmacist
- New Orleans, LA
National Provider Identifier
1659971265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.023613
- Practice address
- 3700 S Carrollton Ave
New Orleans, LA 70118-4708 - Phone
- (504) 488-1110
- NPI assigned
- Nov 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.023613 | LA | Primary |
Addresses
Primary practice location
3700 S Carrollton Ave
New Orleans, LA 70118-4708
Mailing address
180 W Greenbrier Dr
New Orleans, LA 70128-3648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000 | Other | N/A |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | woolfolkjada@yahoo.com |
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 |
|---|---|---|---|
| PST.023613 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Louisiana CVS Pharmacy LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604188800000",
"number": "1659971265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 W GREENBRIER DR",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701283648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 S CARROLLTON AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701184708",
"telephone_number": "504-488-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLFOLK",
"first_name": "JADA",
"middle_name": "RACHAM",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-01",
"last_updated": "2020-11-01",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.023613",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "0000000",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "woolfolkjada@yahoo.com",
"affiliation": "N",
"address_1": "3700 S Carrollton Ave",
"city": "New Orleans",
"state": "LA",
"country_code": "US",
"postal_code": "701184708",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.