Organization Active NPI

Dokimos Pharmacy Inc

Doing business as Dokimos Nevada City Pharmacy

  • Community/Retail Pharmacy
  • Nevada City, CA
National Provider Identifier
1710178256
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY48679 Issued in CA
Legal business name
DOKIMOS PHARMACY INC
Doing business as
Dokimos Nevada City Pharmacy
Practice address
737 Zion St
Nevada City, CA 95959-2920
Phone
(530) 470-8854
Fax
(530) 274-7500
NPI assigned
Aug 8, 2007
Last updated
Sep 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
David DokimosNPI 1255954830
Title
President
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
Community/Retail Pharmacy 3336C0003X PHY48679 CA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

737 Zion St
Nevada City, CA 95959-2920

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
1710178256MedicaidCA
2112523OtherPK

Other names 1

  • DOKIMOS NEVADA CITY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200706001228 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1355764689 Practice locations: Nevada City, CA

National Provider Directory

National Provider Directory
Tax ID family
Dokimos Nevada City Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1710178256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 ZION ST",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592920",
            "telephone_number": "530-470-8854",
            "fax_number": "530-274-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 ZION ST",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592920",
            "telephone_number": "530-470-8854",
            "fax_number": "530-274-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOKIMOS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "DOKIMOS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-274-0100"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48679",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710178256",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2112523",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOKIMOS NEVADA CITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DOKIMOS NEVADA CITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.