Provider Demographics
NPI:1801060298
Name:K & K RX SERVICES, LP
Entity type:Organization
Organization Name:K & K RX SERVICES, LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
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:STE 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:STE 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:2008-04-16
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4818193336S0011X, 3336H0001X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03061790Medicaid
PA1008270470003Medicaid
NC1801060298Medicaid
MN1801060298Medicaid
WI1801060298Medicaid
ME1801060298Medicaid
OH120025Medicaid
IA1801060298Medicaid
DE250541042Medicaid
KS30004882850001Medicaid
AK1736193Medicaid
MT1801060298Medicaid
WY220703600Medicaid
AL306980Medicaid
TX582104Medicaid
MO600129255Medicaid
HI6215Medicaid
VT6704895Medicaid
ID170390003Medicaid
MS200003587Medicaid
OK201155110Medicaid
NJ0190268Medicaid
UT1801060298Medicaid
IN1801060298Medicaid
CO19252Medicaid
AR297732407Medicaid
VA30014924270003Medicaid
NH3142680Medicaid
DC47018300Medicaid
KY7100385430Medicaid
AZ125708Medicaid
OR500820495Medicaid
MI1801060298Medicaid
LA2209949Medicaid
MD557500100Medicaid
NE10027827600Medicaid
PA100827047003Medicaid
SC7P1819Medicaid
NM95809546Medicaid
TNQ047416Medicaid