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
- Last updated
- Jan 4, 2023
- 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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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": [],
"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.