Active NPI
Olivia Dumestre
- Pharmacist
- Covington, LA
National Provider Identifier
1669076394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 023679
- Practice address
- 1203 Business 190
Covington, LA 70433-3278 - Phone
- (985) 893-7476
- NPI assigned
- Nov 23, 2020
- 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 | 023679 | LA | Primary |
Addresses
Primary practice location
1203 Business 190
Covington, LA 70433-3278
Mailing address
1203 Business 190
Covington, LA 70433-3278
Phone (985) 893-7476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4219147 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Walgreens | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023679 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1669076394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 BUSINESS 190",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704333278",
"telephone_number": "985-893-7476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 BUSINESS 190",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704333278",
"telephone_number": "985-893-7476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMESTRE",
"first_name": "OLIVIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "023679",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4219147",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Walgreens",
"affiliation": "N",
"endpointDescription": "3990S",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1203 Business 190",
"city": "Covington",
"state": "LA",
"country_code": "US",
"postal_code": "704333278",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.