Individual provider Active NPI

David J Dokimos, PHARMACIST

  • Pharmacist
  • Grass Valley, CA
National Provider Identifier
1255954830
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH37912 Issued in CA
Practice address
640 E Main St Ste 2
Grass Valley, CA 95945-5854
Phone
(530) 274-0100
Fax
(530) 274-7500
NPI assigned
May 18, 2020
Last updated
May 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH37912 CA Primary

Addresses

Primary practice location

640 E Main St Ste 2
Grass Valley, CA 95945-5854

Mailing address

640 E Main St Ste 2
Grass Valley, CA 95945-5854
Phone (530) 274-0100

Other practice location 1

737 Zion St
Nevada City, CA 95959-2920
Phone (530) 470-8854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RPH37912CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
D K Dokimos Inc CurrentSince Aug 25, 2024 Accepting new patients
Dokimos Pharmacy Inc PastSince Aug 25, 2024 Accepting new patients
D K Dokimos Inc PastSince May 24, 2020 Accepting new patients
Dokimos Pharmacy Inc Past Accepting new patients

Locations

640 E Main St
Ste 2
Grass Valley, CA 95945
Phone (530) 274-0100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1255954830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E MAIN ST STE 2",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455854",
            "telephone_number": "530-274-0100",
            "fax_number": "530-274-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E MAIN ST STE 2",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455854",
            "telephone_number": "530-274-0100",
            "fax_number": "530-274-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "737 Zion St",
            "address_purpose": "LOCATION",
            "city": "Nevada City",
            "state": "CA",
            "postal_code": "959592920",
            "country_code": "US",
            "telephone_number": "530-470-8854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOKIMOS",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH37912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.