Active NPI
Kristi Wade
- Pharmacist
- Ruston, LA
National Provider Identifier
1831500586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 016367
- Practice address
- 1201 N Service Rd E
Ruston, LA 71270-2917 - Phone
- (318) 251-0392
- Fax
- (318) 251-1161
- NPI assigned
- May 15, 2014
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 016367 | LA | Primary |
Addresses
Primary practice location
1201 N Service Rd E
Ruston, LA 71270-2917
Mailing address
1201 N Service Rd E
Ruston, LA 71270-2917
Phone (318) 251-0392
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 |
|---|---|---|---|
| 016367 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400112000000",
"number": "1831500586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 N SERVICE RD E",
"city": "RUSTON",
"state": "LA",
"postal_code": "712702917",
"telephone_number": "318-251-0392",
"fax_number": "318-251-1161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N SERVICE RD E",
"city": "RUSTON",
"state": "LA",
"postal_code": "712702917",
"telephone_number": "318-251-0392",
"fax_number": "318-251-1161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "KRISTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-15",
"last_updated": "2014-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "016367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ruston, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.