OrganizationActive
Dkl31092 Inc
NPI 1104881556 · Community/Retail Pharmacy · Montezuma, GA
Dkl31092 Inc is a Community/Retail Pharmacy organization in Montezuma, GA (NPI 1104881556).
Provider details
- NPI number
- 1104881556
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Donald Lane, Owner(478) 472-7561
Specialties & taxonomies
Suppliers
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
112 S Dooly St
Montezuma, GA 31063-1604
Phone: (478) 472-7561
Fax: (478) 472-5887
Street-level locationGet directions
Mailing address
Po Box 250
Montezuma, GA 31063-0250
Other names (DBA / former)
- Doing business as
- Montezuma Drug Company
Registry dates
- Enumerated
- 2006-04-19
- Last updated
- 2010-04-21
Frequently asked questions
- What is Dkl31092 Inc's NPI number?
- Dkl31092 Inc's National Provider Identifier (NPI) is 1104881556, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dkl31092 Inc?
- Dkl31092 Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Dkl31092 Inc located?
- Dkl31092 Inc's practice location on file with NPPES is 112 S Dooly St, Montezuma, GA 31063-1604.
- What is Dkl31092 Inc's phone number?
- The practice phone number listed in the NPPES registry for Dkl31092 Inc is (478) 472-7561.
- Who is the authorized official for Dkl31092 Inc?
- The authorized official listed on Dkl31092 Inc's NPPES record is Donald Lane, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dkl31092 Inc's NPI active?
- Yes — Dkl31092 Inc's NPI (1104881556) is active in the NPPES registry as of the last update on 2010-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.