Active NPI
Fkatan LLC
Doing business as LN Pharmacy
- Community/Retail Pharmacy
- Philadelphia, PA
National Provider Identifier
1104274406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103104360-0001 | Medicaid | PA |
Other names 1
- LN PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160707002296 | PA | Part B Supplier - Pharmacy | 4981996147 | Practice locations: Philadelphia, PA |
National Provider Directory
National Provider DirectoryLocations
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
- Jennifer M. Fitzula, CRNP
- Marceline Angela Fitzwilliam, PHARMD
- Five Star Companion Care, LLC.
- Fixmeuppt LLC
- Fka PHC, LLP (The Philadelphia Hand Center, PC and Philadelphia Hand to Shoulder Ctr)
- Kathryn Friedman Flack, MD
- Mallory Flager, RDN
- Daniel Patrick Flaherty, PA-C
- Giulietta Rose Flaherty, PSYD
- Katelyn E Flaherty, MD, PHD
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.