Active NPI
Jaimaya Bolden
- Pharmacist
- Dallas, TX
National Provider Identifier
1780283218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71718
- Practice address
- 3818 Cedar Springs Rd Ste 104
Dallas, TX 75219-4167 - Phone
- (214) 624-9872
- NPI assigned
- Oct 26, 2020
- Last updated
- Jun 24, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PNT.023647 | LA | |
| Pharmacist | 183500000X | 71718 | TX | Primary |
Addresses
Primary practice location
3818 Cedar Springs Rd Ste 104
Dallas, TX 75219-4167
Mailing address
319 Somerset St
La Place, LA 70068-5213
Other practice location 1
39527 Highway 42
Prairieville, LA 70769-4651
Phone (225) 673-6374
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PNT.023647 | LA | MD | Pharmacist |
| 71718 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advancecare Texas, Inc. | Current | Accepting new patients | |
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
39527 Highway 42
Prairieville, LA 70769
Phone (225) 673-6374
3818 Cedar Springs Rd
Ste 104
Dallas, TX 75219
Phone (214) 624-9872
Organizations & group practices 3
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": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1780283218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 SOMERSET ST",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700685213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3818 CEDAR SPRINGS RD STE 104",
"city": "DALLAS",
"state": "TX",
"postal_code": "752194167",
"telephone_number": "214-624-9872"
}
],
"practiceLocations": [
{
"address_1": "39527 Highway 42",
"address_purpose": "LOCATION",
"city": "Prairieville",
"state": "LA",
"postal_code": "707694651",
"country_code": "US",
"telephone_number": "225-673-6374",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOLDEN",
"first_name": "JAIMAYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-26",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PNT.023647",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "71718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.