Jennifer Stelly, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

16225 Issued in LA

Practice address

1456 E Bridge St
Breaux Bridge, LA 70517-3406

Phone

(337) 332-5010

NPI assigned

Jun 13, 2016

Last updated

Jun 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Kastak Services, L.L.C.

  dba Hollier's Family Pharmacy

  • Community/Retail Pharmacy
  • Breaux Bridge, LA
  • NPI 1497840474
  NPD (past)

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1629428438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 E BRIDGE ST",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173406",
            "telephone_number": "337-332-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 E BRIDGE ST",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173406",
            "telephone_number": "337-332-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLY",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "16225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Martin Hospital, Inc. (St. Martin Hospital)
• St. Martin Hospital, Inc.
• St. Martin Parish School Board
• Stat Home Health-West, LLC (STAT Home Health)
• Deidre L. Stelly, MD
• Felicia Steward
• Sunshine Pediatric and Family Clinic LLC
• Samyra Sylvester
• Ryan Terry
• Stephanie D Tezeno-Rossyion, FNP

• Pharmacist in Breaux Bridge, LA
• Providers in Breaux Bridge, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.