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Active NPI 1265731848 Individual Practitioner Male Practitioner

Dr. Kenneth Gerard Boutte , PharmD

Pharmacist • Picayune, MS

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Boutte, PharmD is a registered healthcare professional specializing in Pharmacist in Picayune, MS. Practice services are available at 416 MEMORIAL BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

416 Memorial Blvd

Picayune, MS 394665544

Telephone 6017980330
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1497278592

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Picayune, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
30 Specialists

Practicing in Picayune, MS (2321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MS T-010671

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License TX 48331

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1528501384

Doctor of Pharmacy (Pharm.D.)

NPI 1538451158

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 22, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2011

Registered at 416 MEMORIAL BLVD, PICAYUNE, MS 394665544 (Tel: 6017980330)

📍
Updated Business Mailing Address March 22, 2011

Registered at 11211 I 10 SERVICE RD, NEW ORLEANS, LA 701282248 (Tel: 5044589311)

👤
Provider Name / Credentials Updated March 22, 2011

Recorded as KENNETH BOUTTE, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2011

Pharmacist (License #T-010671 in MS)

🟢
Initial NPI Registration & Enumeration March 22, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265731848
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2011
Last Update: March 22, 2011
Sole Proprietor: Yes

Mailing Address

11211 I 10 Service Rd

New Orleans, LA 701282248

Phone: 5044589311

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.