Jeff Albert Dalton, RPH, PHARM D
Individual provider Active NPI Pharmacist · Toccoa, GA
NPI 1366596603 · NPPES record last updated Jan 22, 2017
Key facts
- NPI
- 1366596603
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH021281 (GA)
- Practice address
- 1197 Big a Rd
Ingles Pharmacy
Toccoa, GA 30577-6028 - Phone
- (706) 886-8711
- Fax
- (706) 886-4956
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH021281 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ingles Markets Inc | Past | Accepting new patients | |
| Ingles Markets Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH021281 | GA | Yes |
Addresses
Primary practice location
1197 Big a Rd
Ingles Pharmacy
Toccoa, GA 30577-6028
Mailing address
1197 Big a Rd
Ingles Pharmacy
Toccoa, GA 30577-6028
Phone (706) 886-8711
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH021281 | Other | GA | GEROGIA PHARMACIST LICENS |
Other providers in Toccoa, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.