Kenneth Gerard Boutte Jr., PHARMD

Pharmacist · Picayune, MS

Individual Active NPI

NPI number 1265731848

Practice location

416 Memorial Blvd
Picayune, MS 39466-5544
Phone
(601) 798-0330

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NPI record

NPI
1265731848
Entity type
Individual (Type 1)
Enumeration date
March 22, 2011
Last updated
March 22, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X T-010671 MS
Pharmacist 183500000X 48331 TX

Mailing address

11211 I 10 Service Rd
New Orleans, LA 70128-2248
Phone
(504) 458-9311

About Dr. Boutte

Kenneth Gerard Boutte Jr., PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 416 Memorial Blvd, Picayune, MS 39466-5544. The NPI number 1265731848 was assigned on March 22, 2011 and the record was last updated on March 22, 2011.

Dr. Boutte lists 2 licenses in the registry: #T-010671 (MS) for Pharmacist; #48331 (TX) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth Gerard Boutte Jr., PHARMD?

The NPI number is 1265731848.

What is the phone number of Dr. Boutte?

The phone number listed for the practice location is (601) 798-0330.

Where is Dr. Boutte located?

416 Memorial Blvd, Picayune, MS 39466-5544.

What is the taxonomy code for Dr. Boutte?

The primary taxonomy code is 183500000X – Pharmacist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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