Active NPI
Wallace Joseph Olinde, RPH
- Pharmacist
- Monroe, LA
National Provider Identifier
1871504886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13347
- Practice address
- 250 Desiard Plaza Dr
Monroe, LA 71203-4955 - Phone
- (318) 345-5599
- Fax
- (318) 343-8600
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13347 | LA | Primary |
| Pharmacist | 183500000X | 26762 | TX |
Addresses
Primary practice location
250 Desiard Plaza Dr
Monroe, LA 71203-4955
Mailing address
101 Tyree Dr
West Monroe, LA 71291-7542
Phone (318) 237-9222
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13347 | LA | MD | Pharmacist |
| 26762 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871504886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 TYREE DR",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712917542",
"telephone_number": "318-237-9222",
"fax_number": "318-343-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 DESIARD PLAZA DR",
"city": "MONROE",
"state": "LA",
"postal_code": "712034955",
"telephone_number": "318-345-5599",
"fax_number": "318-343-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLINDE",
"first_name": "WALLACE",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "13347",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "26762",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.