Jeffery Dalton, RPH
Individual provider Active NPI Pharmacist · Altavista, VA
NPI 1609464296 · NPPES record last updated Jan 8, 2021
Key facts
- NPI
- 1609464296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202009378 (VA)
- Practice address
- 1230 Main St
Altavista, VA 24517-1466 - Phone
- (434) 369-5257
- Fax
- (434) 369-1061
- NPI assigned
- Jan 8, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202009378 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeff Dalton Inc Medicine Shoppe | Current |
Accepting new patients |
Locations
1230 Main St
Altavista, VA 24517
Phone (434) 369-5257
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202009378 | VA | Yes |
Addresses
Primary practice location
1230 Main St
Altavista, VA 24517-1466
Mailing address
PO Box 38
Altavista, VA 24517-0038
Phone (434) 369-5257
Other providers in Altavista, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2021. 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.