KTN Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KTN PHARMACY LLC

Practice address

1301 Williams Blvd
Kenner, LA 70062-6507

Phone

(504) 905-9348

NPI assigned

Sep 24, 2018

Organization subpart

No

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

Authorized official

Name

Kim-Phuc NguyenNPI 1962830067

Title

Pharmacist/Owner

Phone

(504) 468-2361

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• East Jefferson Medical Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim-Phuc Nguyen

  • Pharmacist
  • Kenner, LA
  • NPI 1962830067
  NPD Authorized official
• Duong-Thai Nguyen, RPH

  • Pharmacist
  • Kenner, LA
  • NPI 1518331206
  NPD

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1326522467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700626507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700626507",
            "telephone_number": "504-905-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2025-04-02",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KIM-PHUC",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "504-468-2361"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2206656",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Jefferson Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Jefferson Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Paul Klein, MPT
• Carol Ann Kostella
• Natalia R Kotwani, PA-C
• Peter C Krause, MD
• KTN Pharmacy LLC
• KTN Pharmacy LLC
• Cynthia Kudji Sylvester, MD
• Rachel Ann Kuhnell, PT
• La Imaging Solutions, LLC
• La Neurovantage, LLC

• Community/Retail Pharmacy in Kenner, LA
• Providers in Kenner, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.