Active NPI
Kelly Jester, R.PH.
- Pharmacist
- Mandeville, LA
National Provider Identifier
1891000170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15918
- Practice address
- 3916 Highway 22
Mandeville, LA 70471-7306 - Phone
- (985) 273-5099
- Fax
- (985) 206-9766
- NPI assigned
- Aug 11, 2010
- 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 | 15918 | LA | Primary |
Addresses
Primary practice location
3916 Highway 22
Mandeville, LA 70471-7306
Mailing address
770 Forest Loop
Mandeville, LA 70471-2640
Phone (985) 788-1385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1897400 | Medicaid | LA |
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 |
|---|---|---|---|
| 15918 | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1891000170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 FOREST LOOP",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704712640",
"telephone_number": "985-788-1385",
"fax_number": "985-206-9766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3916 HIGHWAY 22",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704717306",
"telephone_number": "985-273-5099",
"fax_number": "985-206-9766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JESTER",
"first_name": "KELLY",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-11",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "15918",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1897400",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.