Dlka Holdings, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24338 Issued in FL

Legal business name

DLKA HOLDINGS, LLC

Practice address

1361 E Osceola Pkwy
Kissimmee, FL 34744-1605

Phone

(407) 288-8836

Fax

(407) 846-0111

NPI assigned

Jun 20, 2011

Last updated

Dec 30, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

DLKA HOLDKINGS, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Xxxxxxxxxxx Xxxxxxxx

Title

Xxxxxxxxxxxxxxxx

Phone

(407) 288-8836

Specialties & licenses 3

Addresses

Other names 1

• MORTAR AND PESTLE PHARMACY Other name

Tax ID family

Dlka Holdings LLC2 organizations share this tax ID, including this one

Part of

Dlka Holdings LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dlka Holdings, LLC

  • Pharmacy
  • Longwood, FL
  • NPI 1073815783
  NPD tax ID

Locations

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356825600000",
    "number": "1588950414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 E OSCEOLA PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441605",
            "telephone_number": "407-288-8836",
            "fax_number": "407-846-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 E OSCEOLA PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441605",
            "telephone_number": "407-288-8836",
            "fax_number": "407-846-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLKA HOLDINGS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DLKA HOLDKINGS, LLC",
        "enumeration_date": "2011-06-20",
        "last_updated": "2012-12-30",
        "status": "A",
        "authorized_official_last_name": "XXXXXXXX",
        "authorized_official_first_name": "XXXXXXXXXXX",
        "authorized_official_title_or_position": "XXXXXXXXXXXXXXXX",
        "authorized_official_telephone_number": "407-288-8836",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24338",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "FL",
            "license": "PH24338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MORTAR AND PESTLE PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Divine Solutions Residential Services LLC.
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• Drake Dixon
• Ruby Johne Dixon, LMHC
• DJMP Management Florida LLC (Foxtail Lodge)
• DME Acquisition Group LLC
• Dna Comprehensive Therapy Services, LLC
• Anh Doan, PHARMD
• Lauren Dobbins, SLPA
• Judeline Docteur, ARNP

• Community/Retail Pharmacy in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2012; 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.