Nicole Elizabeth Dalton

Primary specialty

PharmacistTaxonomy code 183500000X

License

051304569 Issued in IL

Practice address

701 S Midlothian Rd
Mundelein, IL 60060-2686

Phone

(847) 949-7198

NPI assigned

Jan 18, 2022

Sex

Female

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

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Mundelein, IL
  • NPI 1588679914
  NPD (past)
• Walgreen Co

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

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1508518846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S MIDLOTHIAN RD",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600602686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S MIDLOTHIAN RD",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600602686",
            "telephone_number": "847-949-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051304569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cygnus Lactation Services LLC
• Cygnus Lactation Services, LLC
• Jeanne M. Cygnus, IBCLC, PMH-C
• D V Jahn Inc
• Mary Elizabeth Daley, LPC
• Roma Daniene, LMT
• Ryan Kristopher Davenport, L.A.C.
• Dental 360 Mundelein II LLC
• Linda Louise Dew, M.D.
• Diamond Lake SCH Dist 76

• All providers in Mundelein, IL
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.