Active NPI
Jacklyn Olinde, PHARM.D.
- Pharmacist
- New Roads, LA
National Provider Identifier
1386017655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.021173
- Practice address
- 460 Hospital Rd
New Roads, LA 70760-2623 - Phone
- (225) 638-8616
- NPI assigned
- Nov 8, 2015
- Last updated
- Nov 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
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.021173 | LA | Primary |
Addresses
Primary practice location
460 Hospital Rd
New Roads, LA 70760-2623
Mailing address
5116 Arbroth Rd
Glynn, LA 70736-3822
Phone (225) 718-3319
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.021173 | 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 10-1196
- Community/Retail Pharmacy
- New Roads, LA
- NPI 1609893965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446940800000",
"number": "1386017655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5116 ARBROTH RD",
"city": "GLYNN",
"state": "LA",
"postal_code": "707363822",
"telephone_number": "225-718-3319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 HOSPITAL RD",
"city": "NEW ROADS",
"state": "LA",
"postal_code": "707602623",
"telephone_number": "225-638-8616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLINDE",
"first_name": "JACKLYN",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-08",
"last_updated": "2015-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.021173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Roads, LA
- Courtney Morgan, MD
- New Roads Family Practice LLC
- Northland Hearing Centers, Inc. (Audibel Hearing Healthcare)
- Nurturing Seed Consulting LLC
- Myra Odom-Betz, MHS
- Our Lady of the Lake Physician Group LLC
- Our Lady of the Lake Physician Group LLC
- Our Lady of the Lake Physician Group LLC
- Our Lady of the Lake Physician Group LLC
- Alaina Ourso, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.