Organization Active NPI

DKKP Inc

Doing business as Mt Jackson Drug Store

  • Pharmacy
  • Mount Jackson, VA
National Provider Identifier
1770026478
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
DKKP INC
Doing business as
Mt Jackson Drug Store
Practice address
5350 Main St
Mount Jackson, VA 22842-9511
Phone
(540) 477-3101
NPI assigned
Nov 29, 2016
Last updated
Feb 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Mr. Venkata S Nagineni, PHARMDNPI 1649865817
Title
President
Phone
(540) 477-3101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X Primary

Addresses

Primary practice location

5350 Main St
Mount Jackson, VA 22842-9511

Mailing address

5350 Main St
Mount Jackson, VA 22842-9511

Other names 1

  • Mt Jackson Drug Store Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180328000805 VA DME Supplier - Pharmacy 6204198476 Practice locations: Mount Jackson, VA
O20210210001477 VA Part B Supplier - Pharmacy 6204198476 Practice locations: Mount Jackson, VA

National Provider Directory

National Provider Directory

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": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1770026478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 MAIN ST",
            "city": "MOUNT JACKSON",
            "state": "VA",
            "postal_code": "228429511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 MAIN ST",
            "city": "MOUNT JACKSON",
            "state": "VA",
            "postal_code": "228429511",
            "telephone_number": "540-477-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DKKP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "NAGINENI",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-477-3101",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Jackson Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Jackson, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.