Organization Active NPI

Fkatan LLC

Doing business as LN Pharmacy

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1104274406
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FKATAN LLC
Doing business as
LN Pharmacy
Practice address
5927 Lansdowne Ave FL 1
Philadelphia, PA 19151-3932
Phone
(215) 473-0750
Fax
(215) 473-1804
NPI assigned
May 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Dr. Ayalew Tassew, PHARMD
Title
Pharmacy Manager
Phone
(202) 365-5070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP482650 PA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

5927 Lansdowne Ave FL 1
Philadelphia, PA 19151-3932

Mailing address

1607 S Keystone Ave
Upper Darby, PA 19082-3514
Phone (215) 473-0750

Other identifiers 1

IdentifierTypeStateIssuer
103104360-0001MedicaidPA

Other names 1

  • LN PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160707002296 PA Part B Supplier - Pharmacy 4981996147 Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

5929 Lansdowne Ave
Frnt
Philadelphia, PA 19151
Phone (215) 473-0750

5929 Lansdowne Ave
Philadelphia, PA 19151
Phone (215) 473-0750

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1104274406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 S KEYSTONE AVE",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190823514",
            "telephone_number": "215-473-0750",
            "fax_number": "215-473-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5927 LANSDOWNE AVE FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513932",
            "telephone_number": "215-473-0750",
            "fax_number": "215-473-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FKATAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "TASSEW",
        "authorized_official_first_name": "AYALEW",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "202-365-5070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP482650",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103104360-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.