DKKP Inc
Organization Active NPI Pharmacy · Mount Jackson, VA
NPI 1770026478 · NPPES record last updated Feb 26, 2026
Key facts
- NPI
- 1770026478
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- DKKP INC
- Practice address
- 5350 Main St
Mount Jackson, VA 22842-9511 - Phone
- (540) 477-3101
- NPI assigned
- Nov 29, 2016
- Organization subpart
- No
Authorized official
- Name
- Mr. Venkata S Nagineni, PHARMD
- Title
- President
- Phone
- (540) 477-3101
Practitioners 1
-
Umamaheswara Prasad Donepudi, PHARM.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA
Medicare enrollment records
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Yes |
Addresses
Primary practice location
5350 Main St
Mount Jackson, VA 22842-9511
Mailing address
5350 Main St
Mount Jackson, VA 22842-9511
Other names
- Mt Jackson Drug Store
Other providers in Mount Jackson, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.