Organization Active NPI

DJKL Inc

Doing business as Marion Family Pharmacy

  • Community/Retail Pharmacy
  • Marion, VA
National Provider Identifier
1891892634
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201002433 Issued in VA
Legal business name
DJKL INC
Doing business as
Marion Family Pharmacy
Practice address
1581 N Main St
Marion, VA 24354-4317
Phone
(276) 783-7184
Fax
(276) 783-3839
NPI assigned
Sep 20, 2006
Last updated
Apr 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Kris Ratliff
Title
President
Phone
(276) 783-7184

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0201002433 VA Primary

Addresses

Primary practice location

1581 N Main St
Marion, VA 24354-4317

Mailing address

1581 N Main St
Marion, VA 24354-4317
Phone (276) 783-7184

Other identifiers 2

IdentifierTypeStateIssuer
8514097MedicaidVA
2105235OtherPK

Other names 1

  • MARION FAMILY PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210412000238 VA Part B Supplier - Pharmacy 8426466509 Practice locations: Marion, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2203562Marion Family Pharmacy1581 N Main St, Marion, VA 24354Certificate of waiverDec 3, 2026

National Provider Directory

National Provider Directory

Locations

1581 N Main St
Marion, VA 24354
Phone (276) 783-7184

Practitioners & affiliated clinicians

Practitioners 4

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1891892634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 N MAIN ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544317",
            "telephone_number": "276-783-7184",
            "fax_number": "276-783-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 N MAIN ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544317",
            "telephone_number": "276-783-7184",
            "fax_number": "276-783-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJKL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "RATLIFF",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-783-7184"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201002433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8514097",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2105235",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARION FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MARION FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.