MONTEZUMA DRUG COMPANY – NPI #1386949550
Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

MONTEZUMA DRUG COMPANY is a pharmacy located in MONTEZUMA, GA. NPPES has assigned the NPI number 1386949550 to MONTEZUMA DRUG COMPANY on January 20, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MONTEZUMA DRUG COMPANY” is a dba name, the actual legal business name for this organization is DJK 36 INC. The primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 15 years ago on May 09, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MONTEZUMA DRUG COMPANY below.

NPI Profile for
DJK 36 INC

NPI Number
1386949550
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DJK 36 INC
Doing Business As (dba): MONTEZUMA DRUG COMPANY
Primary location
112 S DOOLY ST
MONTEZUMA, GA 31063-1604
Phone: (478) 472-7561 Fax: (478) 472-5887
Mailing address
PO BOX 250
MONTEZUMA, GA 31063-0250
Phone: (478) 472-7561 Fax: (478) 472-5887
Organization Subpart
No
Authorized Official
DANIEL KISER
PHARMACIST IN CHARGE/OWNER
Phone: (478) 472-7561
Updated
Identifiers

Identifiers for MONTEZUMA DRUG COMPANY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNCPDP PROVIDER IDENTIFICATION NUMBER1161063
MEDICAIDGA00927649A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
GA PHRE003393

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.