Jody Olmsted Arnold, RPH

Key facts

NPI

1285149690

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

016829 (LA)

Practice address

1000 Walters St
Lake Charles, LA 70607-4647

Phone

(337) 480-8273

Fax

(337) 480-8316

NPI assigned

Dec 7, 2017

Sex

Female

Sole proprietor

No

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.

• Lake Charles Pharmaceutical Supply Company LLC Community/Retail Pharmacy · Lake Charles, LA · NPI 1750446183
  NPD (past)
• Freds Stores of Tennessee Inc Community/Retail Pharmacy · Greenville, MS · NPI 1093969016
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Pharmacist

State licenses

Practice roles

Specialties & licenses

Addresses

Other names

• Jody Olmsted Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 20, 2021.

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1285149690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MERLOT DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706113969",
            "telephone_number": "337-905-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WALTERS ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074647",
            "telephone_number": "337-480-8273",
            "fax_number": "337-480-8316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 Oak Park Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018977",
            "country_code": "US",
            "telephone_number": "337-494-2990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "JODY",
        "middle_name": "OLMSTED",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "39408",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "016829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "OLMSTED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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