NPIMap

Organization Active NPI

Jaford Enterprises

Doing business as Higher Grounds Pharmacy Ministry

  • Community/Retail Pharmacy
  • Baton Rouge, LA
National Provider Identifier
1912072521
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
4058 Issued in LA
Legal business name
JAFORD ENTERPRISES
Doing business as
Higher Grounds Pharmacy Ministry
Practice address
4983 Bluebonnet Blvd
Ste B
Baton Rouge, LA 70809-3086
Phone
(225) 291-0325
Fax
(225) 291-0362
NPI assigned
Nov 21, 2006
Last updated
May 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Mrs. Shevelle Liesa Ford, P.D.
Title
Pic
Phone
(225) 291-0325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 4058 LA Primary

Addresses

Primary practice location

4983 Bluebonnet Blvd
Ste B
Baton Rouge, LA 70809-3086

Mailing address

PO Box 86028
Baton Rouge, LA 70879-6028
Phone (225) 291-0325

Other identifiers 1

IdentifierTypeStateIssuer
1266311MedicaidLA

Other names 1

  • Higher Grounds Pharmacy Ministry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Higher Grounds Pharmacy Ministry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4983 Bluebonnet Blvd
Ste B
Baton Rouge, LA 70809
Phone (225) 291-0325

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1912072521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86028",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708796028",
            "telephone_number": "225-291-0325",
            "fax_number": "225-291-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4983 BLUEBONNET BLVD",
            "address_2": "STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093086",
            "telephone_number": "225-291-0325",
            "fax_number": "225-291-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAFORD ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "SHEVELLE",
        "authorized_official_middle_name": "LIESA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "225-291-0325",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "4058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1266311",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Higher Grounds Pharmacy Ministry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.