Individual provider Active NPI

Dawn Stacy Talton, RPH

  • Pharmacist
  • Boone, NC
National Provider Identifier
1205425196
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12688 Issued in NC
Practice address
579 Greenway Rd Ste 100
Boone, NC 28607-4975
Phone
(828) 355-3350
NPI assigned
Jan 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12688 NC Primary

Addresses

Primary practice location

579 Greenway Rd Ste 100
Boone, NC 28607-4975

Mailing address

579 Greenway Rd Ste 100
Boone, NC 28607-4975
Phone (828) 355-3350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
12688NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Drugs Inc PastSince Jan 17, 2021 Accepting new patients
Greenway Pharmacy Inc PastSince Jan 17, 2021 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1205425196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 GREENWAY RD STE 100",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074975",
            "telephone_number": "828-355-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 GREENWAY RD STE 100",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074975",
            "telephone_number": "828-355-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALTON",
        "first_name": "DAWN",
        "middle_name": "STACY",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "12688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.