Active NPI
DKKP Inc
Doing business as Mt Jackson Drug Store
- Pharmacy
- Mount Jackson, VA
National Provider Identifier
1770026478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Venkata S Nagineni, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Pharmacist
- Mount Jackson, VA
- NPI 1649865817
-
- Pharmacist
- Lancaster, PA
- NPI 1528202785
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.