Dalton R Putnam, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

2018020490 Issued in MO

Practice address

2650 W Kearney St Ste 116
Springfield, MO 65803-2055

Phone

(417) 865-7547

NPI assigned

Jul 2, 2018

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

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.

• Food Merchants, LLC

  • Long Term Care Pharmacy
  • Nixa, MO
  • NPI 1639690365
  NPD (past)

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1669968764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 W KEARNEY ST STE 116",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658032055",
            "telephone_number": "417-865-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 W KEARNEY ST STE 116",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658032055",
            "telephone_number": "417-865-7547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 N National Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658034318",
            "country_code": "US",
            "telephone_number": "471-893-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2828 N National Ave Ste Ltc",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658034306",
            "country_code": "US",
            "telephone_number": "417-893-3902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "DALTON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2018020490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Ann Pursell
• Anita Marlene Purvis, FNP
• Mykelnn Puryear, PA-C
• Katharine M Putman, LP
• Putnam Orthopaedic Center, LLC
• John Leslie Putnam, MD
• Wayne E Putnam, D.O.
• Paul Dennis Putt, A.T., C.
• Bailey M Pyle, MA, LPC
• Susan E. Pyle, PSYD, LP

• Pharmacist in Springfield, MO
• Providers in Springfield, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.