Dkl31092 Inc
Dkl31092 Inc is a healthcare organization registered as Community/Retail Pharmacy in Montezuma, GA, holding Type 2 (organization) NPI 1104881556 since 2006. The authorized official on file is Donald Lane, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104881556 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dkl31092 Inc |
| Other name | <Unavail> |
| Practice address | 112 S DOOLY ST, Montezuma, GA, 31063 |
| Phone | 4784727561 |
| Fax | 4784725887 |
| Enumeration date | 2006-04-19 |
| Last updated in NPPES | 2010-04-21 |
Authorized official
| Name | Donald Lane |
|---|---|
| Title | Owner |
| Phone | 4784727561 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336L0003X | Long Term Care Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | PHRE003393 | GA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1112527 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
| 00927649A | Medicaid | GA | — |
Copy-ready billing details
Provider: Dkl31092 Inc NPI: 1104881556 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 112 S DOOLY ST, Montezuma, GA, 31063
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1508838327 | Donald Lane | Individual | Pharmacist | Montezuma, GA |
| 1235201138 | John Hames | Individual | Pharmacist | Montezuma, GA |
| 1386949550 | Djk 36 Inc | Organization | Community/Retail Pharmacy | Montezuma, GA |
Verify this record
Cross-check NPI 1104881556 against the authoritative CMS record: view Dkl31092 Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Dkl31092 Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-04-21.