Active NPI
Eldora Bolden, PHARM D
- Pharmacist
- Morgan City, LA
National Provider Identifier
1942678586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.021050
- Practice address
- 1002 Highway 70
Morgan City, LA 70380-8001 - Phone
- (985) 384-1447
- NPI assigned
- Sep 14, 2015
- Last updated
- Sep 14, 2015
- 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.021050 | LA | Primary |
Addresses
Primary practice location
1002 Highway 70
Morgan City, LA 70380-8001
Mailing address
319 Somerset Rd
La Place, LA 70068-5213
Phone (504) 442-7100
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.021050 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | 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.
-
dba Walmart Pharmacy 10-7099
- Community/Retail Pharmacy
- Morgan City, LA
- NPI 1366833782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442188800000",
"number": "1942678586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 SOMERSET RD",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700685213",
"telephone_number": "504-442-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 HIGHWAY 70",
"city": "MORGAN CITY",
"state": "LA",
"postal_code": "703808001",
"telephone_number": "985-384-1447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLDEN",
"first_name": "ELDORA",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-14",
"last_updated": "2015-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.021050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgan City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.