Ladera Jackson, - Pharmacist in Shreveport, LA

Ladera Jackson, is a Pharmacist based in Shreveport, Louisiana. Ladera Jackson is licensed to practice in Louisiana (license number 18259) and her current practice location is 6235 Westport Ave, Shreveport, Louisiana. She can be reached at her office (for appointments etc.) via phone at (318) 688-7705.

NPI number for Ladera Jackson is 1275959488 and her current mailing address is 6235 Westport Ave, Shreveport, Louisiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275959488.

Contact Information

Ladera Jackson,
6235 Westport Ave,
Shreveport, LA 71129-2503
(318) 688-7705
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameLadera Jackson
GenderFemale
SpecialityPharmacist
Location6235 Westport Ave, Shreveport, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275959488
  • Provider Enumeration Date: 03/12/2014
  • Last Update Date: 03/12/2014

Medical Identifiers

Medical identifiers for Ladera Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275959488NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 18259 (Louisiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ladera Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ladera Jackson,
6235 Westport Ave,
Shreveport, LA 71129-2503

Ph: () -
Ladera Jackson,
6235 Westport Ave,
Shreveport, LA 71129-2503

Ph: (318) 688-7705

Reviews and Comments


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