Organization Active NPI

Kens Pharmacy Inc

Doing business as Kens Pharmacy

  • Community/Retail Pharmacy
  • New Orleans, LA
National Provider Identifier
1710992334
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
002779 Issued in LA
Legal business name
KENS PHARMACY INC
Doing business as
Kens Pharmacy
Practice address
4626 Alcee Fortier Blvd
Ste C
New Orleans, LA 70129-2130
Phone
(504) 254-8989
NPI assigned
Jul 30, 2006
Last updated
Apr 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Kinh Nguyen, RPHNPI 1124619853
Title
Pharmacist in Charge
Phone
(504) 254-8989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 002779 LA Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
1261220MedicaidLA
2032906OtherPK

Other names 1

  • KENS PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211012002456 LA Part B Supplier - Pharmacy 1052719622 Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1710992334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 ALCEE FORTIER BLVD",
            "address_2": "STE C",
            "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",
            "address_2": "STE C",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701292130",
            "telephone_number": "504-254-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KINH",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "504-254-8989",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "002779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1261220",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2032906",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KENS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 17, 2013; 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.