Active NPI
Jacquelyn Green Udstad, PHARMD
- Oncology Pharmacist
- Covington, LA
National Provider Identifier
1194621896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- PST.023956
- Practice address
- 900 Ochsner Blvd
Covington, LA 70433-8275 - Phone
- (985) 338-5161
- NPI assigned
- Oct 19, 2026
- Last updated
- Oct 19, 2026
- 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 |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | PST.023956 | LA | Primary |
Addresses
Primary practice location
900 Ochsner Blvd
Covington, LA 70433-8275
Mailing address
900 Ochsner Blvd
3Rd Floor Pharmacy
Covington, LA 70433-8275
Phone (985) 338-5161
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792368000000",
"number": "1194621896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 OCHSNER BLVD",
"address_2": "3RD FLOOR PHARMACY",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704338275",
"telephone_number": "985-338-5161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 OCHSNER BLVD",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704338275",
"telephone_number": "985-338-5161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDSTAD",
"first_name": "JACQUELYN",
"middle_name": "GREEN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-19",
"last_updated": "2026-10-19",
"certification_date": "2026-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "LA",
"license": "PST.023956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
- Donald Allen Tumbleston Jr., LOTR
- Melissa Tumbleston
- Lexie Bordelon Tuminski, OT
- Two Eagles N Spear LLC
- Albert I Tydings, MD
- Ulrich a Starke MD LLC
- Carrie Marie Umberger, PA-C
- Demeka Underwood, NP
- University Healthcare System, L.C. (Lakeview Regional Behavioral Health)
- University Healthcare Systems, LC (Tulane University Hospital & Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.