FFP ACQUISITION II, LLC

Provider Demographics

• NPI: 1720357908
• Name: FFP ACQUISITION II, LLC
• Entity Type: Organization
• Organization Name: FFP ACQUISITION II, LLC
• Other - Org Name: BIOMATRIX SPECIALTY PHARMACY TN
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: CEO, PRESIDENT, LLC MANAGER
• Authorized Official - First Name: KATHEE
• Authorized Official - Middle Name: M
• Authorized Official - Last Name: KRAMM
• Authorized Official - Phone: 954-385-7322
• Mailing Address - Street 1: 8024 STAGE HILLS BLVD
• Mailing Address - Street 2: SUITE 107
• Mailing Address - City: MEMPHIS
• Mailing Address - State: TN
• Mailing Address - Zip Code: 38133-4048
• Mailing Address - Country: US
• Mailing Address - Phone: 901-380-5899
• Mailing Address - Fax: 901-380-5877
• Practice Address - Street 1: 8024 STAGE HILLS BLVD
• Practice Address - Street 2: SUITE 107
• Practice Address - City: MEMPHIS
• Practice Address - State: TN
• Practice Address - Zip Code: 38133-4048
• Practice Address - Country: US
• Practice Address - Phone: 901-380-5899
• Practice Address - Fax: 901-380-5877
• EIN: <UNAVAIL>
• Is Organization Subpart?: Yes
• Parent Organization LBN: FFP HOLDCO, LLC
• Parent Organization TIN: <UNAVAIL>
• Enumeration Date: 2011-12-18
• Last Update Date: 2024-04-06

Provider Licenses

State	License ID	Taxonomies
TN	0000003956	333600000X, 3336H0001X, 3336S0011X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	3336H0001X	Suppliers	Pharmacy	Home Infusion Therapy Pharmacy
No	333600000X	Suppliers	Pharmacy
No	3336S0011X	Suppliers	Pharmacy	Specialty Pharmacy

Provider Identifiers

State	Identifier ID	ID Type	Issuer
VT	1027440	Medicaid
MN	1720357908	Medicaid
KS	1720357908	Medicaid
WI	100047284	Medicaid
NE	10026547200	Medicaid
MD	257909000	Medicaid
VA	30015069190002	Medicaid
MO	600003610	Medicaid
TN	1531004	Medicaid
ME	1720357908	Medicaid
SD	1720357908	Medicaid
AR	197036407	Medicaid
MI	1720357908	Medicaid
WV	152310001	Medicaid
NH	3090554	Medicaid
AZ	827817	Medicaid
VA	30015068190001	Medicaid
NM	40634337	Medicaid
KY	7100208210	Medicaid
SC	7T395D	Medicaid
MS	04279544	Medicaid
PA	1032174620001	Medicaid
ID	1720357908	Medicaid
OK	200489400A	Medicaid