Active NPI
K & J RX Inc
- Community/Retail Pharmacy
- Sacramento, CA
National Provider Identifier
1245220391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenan Alkhoury
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY58711 | Other | CA | PHARMACY PERMIT |
| 1245220391 | Medicaid | CA |
Other names 1
- Anderson Bros Town & Country Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Sacramento, CA
- NPI 1477292035
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Davis, CA
- NPI 1871921536
-
- Pharmacist
- Sacramento, CA
- NPI 1982328688
-
- Pharmacist
- Sacramento, CA
- NPI 1033837612
-
- Pharmacist
- Sacramento, CA
- NPI 1841986080
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.