DKKP INC (NPI# 1770026478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770026478 |
| Entity Type | Organization |
| Organization Name | DKKP INC |
| Other Organization Name | MT JACKSON DRUG STORE |
| Practice Address |
5350 Main St Mount Jackson VA 22842-9511 |
| Practice Telephone | 5404773101 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |
| Authorized Official Name | MR. UMAMAHESWARA P DONEPUDI (PRESIDENT) |
| Authorized Official Telephone | 5404773101 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| Mt Jackson Drug Store | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DKKP INC. | 5350 Main St, Mt Jackson, Virginia 22842 |
| Street Address |
5350 MAIN ST |
| City | MOUNT JACKSON |
| State | VA |
| Zip Code | 22842-9511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346322120 | Mt Jackson Drug Store Inc | Durable Medical Equipment & Medical Supplies | 5350 Main St, Mount Jackson, VA 22842-9511 | 2006-10-20 |
| 1366515447 | Robert E. Willey | Pharmacist | 5350 Main St, Mount Jackson, VA 22842-9511 | 2006-11-16 |
| 1073683306 | Larry L Fuchs | Pharmacist | 5350 Main St, Mount Jackson, VA 22842-9511 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538619473 | Skyler Tyne Sharp | Nurse Practitioner | 5173 South Main Street, Mt Jackson, VA 22842 | 2016-10-04 |
| 1427109628 | Sharon Sammons Clark | Dietitian, Registered | 8006 Senedo Rd, Mount Jackson, VA 22842-2232 | 2007-01-15 |
| 1497994172 | North Mountain Dietetic Services, LLC | Dietitian, Registered | 8006 Senedo Rd, Mount Jackson, VA 22842-2232 | 2009-02-19 |
| 1952848418 | Assisting Angels Home Care LLC | Home Health | 14274 Senedo Rd, Mount Jackson, VA 22842-2408 | 2017-01-23 |
| 1205072519 | Warren A Wittig | Technician/Technologist | 215 Conicville Blvd, Mount Jackson, VA 22842-2862 | 2008-12-17 |
| 1609300870 | Simeon A Melaku | Family Medicine | 120 Medical Dr, Mount Jackson, VA 22842-9417 | 2017-04-14 |
| 1649531401 | Jason Asistores | Family Medicine | 120 Medical Dr, Mount Jackson, VA 22842-9417 | 2012-06-07 |
| 1144467796 | Ruth N. Holmaas | Nurse Practitioner | 120 Medical Dr, Mount Jackson, VA 22842-9417 | 2009-01-18 |
| 1831153121 | Nancy L. Brubaker | Nurse Practitioner | 120 Medical Dr, Mount Jackson, VA 22842-9417 | 2006-04-13 |
| 1649234048 | Janet L Polansky | Family Medicine | 120 Medical Dr, Mount Jackson, VA 22842-9417 | 2006-04-13 |
| Find all providers in zip 22842 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
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| 1275175804 | Duyen K Nguyen | Pharmacy | 4497 Morning Wind Ct, Annandale, VA 22003-5902 | 2019-10-15 |
| 1447892450 | Seaside Pharmacy LLC | Pharmacy | 1630 Donna Dr Ste 103, Virginia Beach, VA 23451-6188 | 2019-10-10 |
| 1083255426 | E's-y Rider Cab & Transport Co LLC | Pharmacy | 562 W 29th St, Buena Vista, VA 24416-1506 | 2019-10-07 |
| 1346891918 | Martin's Pharmacy of Rural Retreat Inc | Pharmacy | 100 W Buck Ave, Rural Retreat, VA 24368-2515 | 2019-09-25 |
| 1417418005 | Village Economy Drug Inc | Pharmacy | 443 Duff Patt Hwy Ste 104, Duffield, VA 24244-5191 | 2019-03-27 |
| 1538642434 | Avs Pharmacy LLC | Pharmacy | 161 Fort Evans Rd Ne Ste 115, Leesburg, VA 20176-3370 | 2018-09-07 |
| 1316427347 | Plaza Economy Drug Inc | Pharmacy | 1123 Plaza Dr, Grundy, VA 24614-6780 | 2018-08-20 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT JACKSON |
| Zip Code | 22842 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.