Provider Demographics
NPI:1851848634
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 - Prefix:
Authorized Official - First Name:KATHEE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KRAMM
Authorized Official - Suffix:
Authorized Official - Credentials:
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:2016-09-08
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4818193336H0001X, 3336S0011X, 3336S0011X
PAPP4819193336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100827047003Medicaid
PA100827047003Medicaid
4954860002Medicare NSC
SC481819Medicaid
DE217127Medicaid
4954860002Medicare NSC
UT1801060298Medicaid
NY2754103Medicaid
DC47018300Medicaid