Provider Demographics
NPI:1306715214
Name:KP MEDIX LLC
Entity type:Organization
Organization Name:KP MEDIX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KINJAL
Authorized Official - Middle Name:P
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-295-5585
Mailing Address - Street 1:82 N PENNSYLVANIA AVE STE A
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19067-1180
Mailing Address - Country:US
Mailing Address - Phone:215-295-5585
Mailing Address - Fax:215-295-7128
Practice Address - Street 1:82 N PENNSYLVANIA AVE STE A
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:PA
Practice Address - Zip Code:19067-1180
Practice Address - Country:US
Practice Address - Phone:215-295-5585
Practice Address - Fax:215-295-7128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-30
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty