Organization Active NPI

KTN Pharmacy LLC

  • Home Infusion Therapy Pharmacy
  • Kenner, LA
National Provider Identifier
1013738228
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
KTN PHARMACY LLC
Practice address
1623 Williams Blvd
Kenner, LA 70062-6303
Phone
(504) 468-2361
NPI assigned
Oct 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Duong-Thai Nguyen
Title
Owner
Phone
(504) 453-4299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X Primary

Addresses

Primary practice location

1623 Williams Blvd
Kenner, LA 70062-6303

Mailing address

1623 Williams Blvd
Kenner, LA 70062-6303

Other names 1

  • EAST JEFFERSON MEDICAL PHARMACY Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
East Jefferson Medical Pharmacy1623 Williams Blvd, Kenner, LA 70062-6303(504) 468-2361 Infusion Drugs|External Infusion Pumps and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Jan 11, 2021

National Provider Directory

National Provider Directory
Tax ID family
East Jefferson Medical Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1623 Williams Blvd
Kenner, LA 70062
Phone (504) 468-2361

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1013738228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700626303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700626303",
            "telephone_number": "504-468-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DUONG-THAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-453-4299"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST JEFFERSON MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.