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Ktn Pharmacy LLC

Pharmacy, Community/Retail Pharmacy in Kenner, LA. Organization (NPI-2).

NPI number1326522467
StatusActive
Last updated in NPPESApr 2, 2025

Details

NPI
1326522467
Entity type
Organization (NPI-2)
Legal business name
Ktn Pharmacy LLC
Organization subpart
No
Enumeration date
Sep 24, 2018
Certification date
Mar 31, 2025
Last updated
Apr 2, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - PHARMACY
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy––

Other names

  • East Jefferson Medical Pharmacy (Doing Business As)

Practice location

1301 Williams Blvd
Kenner, LA 70062-6507

Phone 504-905-9348

Mailing address

1301 Williams Blvd
Kenner, LA 70062-6507

Authorized official

Kim-Phuc Nguyen
Pharmacist/Owner
5044682361

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community/Retail Pharmacy providers in Kenner, LA

All 13 Community/Retail Pharmacy providers in Kenner · All 1,073 providers in Kenner

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