Organization Active NPI

D K Dokimos Inc

Doing business as Dokimos East Main Pharmacy

  • Community/Retail Pharmacy
  • Grass Valley, CA
National Provider Identifier
1588729917
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY46963 Issued in CA
Legal business name
D K DOKIMOS INC
Doing business as
Dokimos East Main Pharmacy
Practice address
640 E Main St
Ste 2
Grass Valley, CA 95945-5854
Phone
(530) 274-0100
Fax
(530) 274-7500
NPI assigned
Dec 26, 2006
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
David Dokimos, RPHNPI 1255954830
Title
Pres
Phone
(530) 274-0100

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)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHY46963 CA Primary
Long Term Care Pharmacy 3336L0003X NU

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 identifiers 2

IdentifierTypeStateIssuer
1588729917MedicaidCA
2113329OtherPK

Other names 1

  • DOKIMOS EAST MAIN PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1588729917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E MAIN ST",
            "address_2": "STE 2",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455854",
            "telephone_number": "530-274-0100",
            "fax_number": "530-274-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E MAIN ST",
            "address_2": "STE 2",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455854",
            "telephone_number": "530-274-0100",
            "fax_number": "530-274-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D K DOKIMOS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "DOKIMOS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "530-274-0100",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46963",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588729917",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2113329",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOKIMOS EAST MAIN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DOKIMOS EAST MAIN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 15, 2024; 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.