Jeff Dalton Inc Medicine Shoppe

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JEFF DALTON INC MEDICINE SHOPPE

Practice address

1230 Main St
Altavista, VA 24517-1466

Phone

(434) 369-5257

Fax

(434) 369-1061

NPI assigned

Oct 4, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeff Dalton, R.P.H

Title

President

Phone

(434) 369-5257

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Locations

Practitioners 2

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.

• Jeffery Dalton, RPH

  • Pharmacist
  • Altavista, VA
  • NPI 1609464296
  NPD
• Anna Legard, RPH

  • Pharmacist
  • Altavista, VA
  • NPI 1245057371
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1093800914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 MAIN ST",
            "city": "ALTAVISTA",
            "state": "VA",
            "postal_code": "245171466",
            "telephone_number": "434-369-5257",
            "fax_number": "434-369-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 MAIN ST",
            "city": "ALTAVISTA",
            "state": "VA",
            "postal_code": "245171466",
            "telephone_number": "434-369-5257",
            "fax_number": "434-369-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF DALTON INC MEDICINE SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-369-5257",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.P.H"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201003405",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008517371",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010332591",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth C Garcia, LPC
• Ashley Hazlett
• Rachel Mia Hicks, MAT
• Gwen Hooks
• Horizon Behavioral Health (Altavista ICF)
• Julian Fields, DDS LTD (Altavista Dental)
• Julian W. Fields D.D.S., LTD.
• McKayla Marie Kimball
• Anna Legard, RPH
• Allison Maddy, NP-C

• Community/Retail Pharmacy in Altavista, VA
• Providers in Altavista, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.