K & K RX SERVICES, LP

Provider Demographics

• NPI: 1851832646
• Name: K & K RX SERVICES, LP
• Entity Type: Organization
• Organization Name: K & K RX SERVICES, LP
• Other - Org Name: BIOMATRIX SPECIALTY PHARMACY PA
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: CEO, PRESIDENT, LLC MANAGER OF G.P.
• 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: 3070 MCCANN FARM DR
• Mailing Address - Street 2: SUITE 101
• Mailing Address - City: GARNET VALLEY
• Mailing Address - State: PA
• Mailing Address - Zip Code: 19060-2131
• Mailing Address - Country: US
• Mailing Address - Phone: 610-545-6040
• Mailing Address - Fax: 610-545-6030
• Practice Address - Street 1: 3070 MCCANN FARM DR
• Practice Address - Street 2: SUITE 101
• Practice Address - City: GARNET VALLEY
• Practice Address - State: PA
• Practice Address - Zip Code: 19060
• Practice Address - Country: US
• Practice Address - Phone: 610-545-6040
• Practice Address - Fax: 610-545-6030
• EIN: <UNAVAIL>
• Is Organization Subpart?: Yes
• Parent Organization LBN: K & K RX SERVICES GENPAR, LLC
• Parent Organization TIN: <UNAVAIL>
• Enumeration Date: 2017-03-14
• Last Update Date: 2024-04-06

Provider Licenses

State	License ID	Taxonomies
PA	PP481819	3336H0001X, 3336M0002X, 3336S0011X, 3336S0011X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	3336S0011X	Suppliers	Pharmacy	Specialty Pharmacy
No	3336H0001X	Suppliers	Pharmacy	Home Infusion Therapy Pharmacy
No	3336M0002X	Suppliers	Pharmacy	Mail Order Pharmacy

Provider Identifiers

State	Identifier ID	ID Type	Issuer
PA	100827047003	Medicaid
PA	100827047003	Medicaid
	4954860002	Medicare NSC
CO	19252	Medicaid
	4954860002	Medicare NSC
UT	1801060298	Medicaid
NJ	190268	Medicaid
NV	1801060298	Medicaid
ID	170390003	Medicaid
MD	557500100	Medicaid
DC	47018300	Medicaid
SC	481819	Medicaid
PA	1008270470003	Medicaid
OH	0120025	Medicaid
KY	7100385430	Medicaid
IN	200908740A	Medicaid