Active NPI
KTN Pharmacy LLC
- Home Infusion Therapy Pharmacy
- Kenner, LA
National Provider Identifier
1013738228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| East Jefferson Medical Pharmacy | Infusion Drugs|External Infusion Pumps and/or Supplies|Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- East Jefferson Medical Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Kenner, LA
- NPI 1609690163
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.