NPI Code Detail JSON Logo

1245503648 NPI number — BIOLOGICTX LLC

NPI Number: 1245503648
Health Care Provider/Practitioner: BIOLOGICTX LLC

Information about “1245503648” NPI (BIOLOGICTX LLC) exists in 1245503648 in HTML format HTML  |  1245503648 in plain Text format TXT  |  1245503648 in PDF (Portable Document Format) PDF  |  1245503648 in an XML format XML  formats.

NPI Number : 1245503648 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245503648",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "BIOMATRIX SPECIALTY PHARMACY, LLC",
    "ParentOrgTIN": null,
    "OrgName": "BIOLOGICTX LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "40D COMMERCE WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TOTOWA",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07512-3109",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "973-774-0954",
    "MailingAddressFaxNumber": "973-774-0993",
    "FirstLinePracticeLocationAddress": "40D COMMERCE WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TOTOWA",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07512",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "973-774-0954",
    "PracticeLocationAddressFaxNumber": "973-774-0993",
    "EnumerationDate": "02/15/2012",
    "LastUpdateDate": "11/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KRAMM",
    "AuthorizedOfficialFirstName": "EDWARD",
    "AuthorizedOfficialMiddleName": "P",
    "AuthorizedOfficialTitle": "CHIEF EXECUTIVE OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "913-515-6719",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3336H0001X",
        "TaxonomyName": "Home Infusion Therapy Pharmacy",
        "LicenseNumber": "28RS00717700",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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