Bryan Keith Dalton, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202208492 Issued in VA

Practice address

108 Vaden Dr
Gretna, VA 24557-4160

Phone

(434) 656-1251

NPI assigned

Dec 4, 2020

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Gretna Drug Co., Inc.

  • Long Term Care Pharmacy
  • Gretna, VA
  • NPI 1053179382
  NPD
• Gretna Drug Co., Inc.

  • Pharmacy
  • Gretna, VA
  • NPI 1992704183
  NPD (past)

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1326643446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "GRETNA",
            "state": "VA",
            "postal_code": "245570456",
            "telephone_number": "434-656-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 VADEN DR",
            "city": "GRETNA",
            "state": "VA",
            "postal_code": "245574160",
            "telephone_number": "434-656-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "BRYAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202208492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centra Pace- Gretna
• Joseph Chambers
• Ronnie Coles
• Renea Johnson Cooper, L.P.T.A
• Jacqulin Coston
• William Brandon Dalton, PHARMD
• Danville Physician Practices LLC
• Danville Physician Practices, LLC
• Cherisse Yolanda Davenport
• Andre Anthony Dickerson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.