Organization Active NPI

Diksha Inc

Doing business as Lemon Bay Drugs East

  • Community/Retail Pharmacy
  • Jacksonville, FL
National Provider Identifier
1568462380
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DIKSHA INC
Doing business as
Lemon Bay Drugs East
Practice address
530 N Washington St
Jacksonville, FL 32202-2735
Phone
(941) 475-5636
Fax
(941) 474-7993
NPI assigned
Jul 22, 2005
Last updated
Oct 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Ronald Kooch
Title
President
Phone
(941) 475-5636

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH 21404 FL
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

530 N Washington St
Jacksonville, FL 32202-2735

Mailing address

530 N Washington St
Jacksonville, FL 32202-2735
Phone (941) 475-5636

Other identifiers 1

IdentifierTypeStateIssuer
022771700MedicaidFL

Other names 1

  • Lemon Bay Drugs East Doing business as

National Provider Directory

National Provider Directory

Locations

3542 N Access Rd
Ste A
Englewood, FL 34224
Phone (941) 475-5636

530 N Washington St
Jacksonville, FL 32202
Phone (941) 475-5636

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1568462380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N WASHINGTON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322022735",
            "telephone_number": "941-475-5636",
            "fax_number": "941-474-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N WASHINGTON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322022735",
            "telephone_number": "941-475-5636",
            "fax_number": "941-474-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIKSHA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "KOOCH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-475-5636"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH 21404",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022771700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lemon Bay Drugs East",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lemon Bay Drugs East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.