Organization Active NPI

K & J RX Inc

  • Community/Retail Pharmacy
  • Sacramento, CA
National Provider Identifier
1245220391
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
K & J RX INC
Doing business as
Anderson Bros Town & Country Pharmacy
Practice address
2900 Fulton Ave
Sacramento, CA 95821-4910
Phone
(916) 489-3638
Fax
(916) 489-6304
NPI assigned
Oct 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenan AlkhouryNPI 1871921536
Title
Cfo
Phone
(916) 489-3638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY49115 CA
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2900 Fulton Ave
Sacramento, CA 95821-4910

Mailing address

2900 Fulton Ave
Sacramento, CA 95821-4910
Phone (916) 489-3638

Other identifiers 2

IdentifierTypeStateIssuer
PHY58711OtherCAPHARMACY PERMIT
1245220391MedicaidCA

Other names 1

  • Anderson Bros Town & Country Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221015000160 CA Part B Supplier - Mass Immunization (Roster Biller Only) 5991171969 Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory
Tax ID family
K J RX Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1245220391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 FULTON AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214910",
            "telephone_number": "916-489-3638",
            "fax_number": "916-489-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 FULTON AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214910",
            "telephone_number": "916-489-3638",
            "fax_number": "916-489-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & J RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "ALKHOURY",
        "authorized_official_first_name": "KENAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "916-489-3638"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY49115",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "PHY58711",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245220391",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Bros Town & Country Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.