Individual provider Active NPI

Kinh Van Nguyen

  • Pharmacist
  • New Orleans, LA
National Provider Identifier
1124619853
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PST.015242 Issued in LA
Practice address
4626 Alcee Fortier Blvd Ste 1a
New Orleans, LA 70129-2130
Phone
(504) 254-8989
NPI assigned
Jan 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PST.015242 LA Primary

Addresses

Primary practice location

4626 Alcee Fortier Blvd Ste 1a
New Orleans, LA 70129-2130

Mailing address

4626 Alcee Fortier Blvd Ste 1a
New Orleans, LA 70129-2130
Phone (504) 254-8989

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

State licenses

LicenseStateTypeSpecialty
PST.015242LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kens Pharmacy Inc CurrentSince Jan 31, 2021 Accepting new patients

Locations

4626 Alcee Fortier Blvd
Ste 1A
New Orleans, LA 70129
Phone (504) 254-8989

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1124619853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 ALCEE FORTIER BLVD STE 1A",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701292130",
            "telephone_number": "504-254-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 ALCEE FORTIER BLVD STE 1A",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701292130",
            "telephone_number": "504-254-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KINH",
        "middle_name": "VAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.015242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.