1801060298 NPI number — K & K RX SERVICES, LP

Table of content: (NPI 1801060298)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801060298 NPI number — K & K RX SERVICES, LP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
K & K RX SERVICES, LP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801060298
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/20/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3070 MCCANN FARM DR
Provider Second Line Business Mailing Address:
STE 101
Provider Business Mailing Address City Name:
GARNET VALLEY
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19060-2131
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-545-6040
Provider Business Mailing Address Fax Number:
610-545-6030

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3070 MCCANN FARM DR
Provider Second Line Business Practice Location Address:
STE 101
Provider Business Practice Location Address City Name:
GARNET VALLEY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19060
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-545-6040
Provider Business Practice Location Address Fax Number:
610-545-6030
Provider Enumeration Date:
04/16/2008

Additional Information

Authorized Official

Authorized Official Last Name:
KRAMM
Authorized Official First Name:
KATHEE
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
954-385-7322

Provider Taxonomy Codes

  • Taxonomy code: 3336H0001X , with the licence number:  PP481819 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336S0011X , with the licence number: PP481819 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 03061790 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1008270470003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1801060298 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1801060298 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1801060298 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1801060298 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 120025 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1801060298 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 250541042 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30004882850001 , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1736193 , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1801060298 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 220703600 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 306980 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 582104 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 600129255 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6215 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6704895 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 170390003 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200003587 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".




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