Individual provider Active NPI

Esther Clarisse Wanda, PHARM.D.

  • Pharmacist
  • Kenner, LA
National Provider Identifier
1104177245
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17108 Issued in LA
Practice address
3108 Loyola Drive
Kenner, LA 70065
Phone
(504) 464-4421
Fax
(504) 469-5995
NPI assigned
Sep 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17108 LA Primary

Addresses

Primary practice location

3108 Loyola Drive
Kenner, LA 70065

Mailing address

3108 Loyola Dr
Kenner, LA 70065-4139
Phone (504) 464-4421

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

LicenseStateTypeSpecialty
17108LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Esther Wanda Inc Current Accepting new patients
Esther Wanda Inc Current Accepting new patients

Locations

3108 Loyola Dr
Kenner, LA 70065
Phone (504) 464-4421

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1104177245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 LOYOLA DR",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700654139",
            "telephone_number": "504-464-4421",
            "fax_number": "504-469-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 LOYOLA DRIVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70065",
            "telephone_number": "504-464-4421",
            "fax_number": "504-469-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANDA",
        "first_name": "ESTHER",
        "middle_name": "CLARISSE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "17108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.