Dustin Tyler Elliott, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202210908 Issued in VA

Practice address

15000 Capital One Dr
Richmond, VA 23238-1119

Phone

(804) 784-9011

Fax

(804) 784-9017

NPI assigned

Nov 25, 2011

Last updated

Dec 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreen Co

  dba Be Well Pharmacy

  • Pharmacy
  • Richmond, VA
  • NPI 1386042661
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1322179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1184991754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 CAPITAL ONE DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232381119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 CAPITAL ONE DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232381119",
            "telephone_number": "804-784-9011",
            "fax_number": "804-784-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "DUSTIN",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-25",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202210908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Lynn Elliott-Jones, LCSW
• Berkeley Elliott, MSW, LCSW
• Carol Anne Elliott, OTR
• Charmaine Elliott, MD
• David C Elliott, M.D.
• Gregory R Elliott, M.D.
• Jerard Lamarl Elliott
• Keith C Elliott, LCSW
• Kenneth Neil Elliott Jr.
• Lindsay Elliott, PA-C

• Pharmacist in Richmond, VA
• Providers in Richmond, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.