Organization Active NPI

Dalton Drug Company Inc

Doing business as Dalton Pharmacy

  • Community/Retail Pharmacy
  • Slocomb, AL
National Provider Identifier
1679584247
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
103010 Issued in AL
Legal business name
DALTON DRUG COMPANY INC
Doing business as
Dalton Pharmacy
Practice address
141 S Dalton St
Slocomb, AL 36375-5483
Phone
(334) 886-2442
Fax
(339) 886-7442
NPI assigned
Aug 10, 2006
Last updated
Jan 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joe Dalton, RPHNPI 1740605146
Title
Owner
Phone
(334) 886-2442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 103010 AL Primary

Addresses

Primary practice location

141 S Dalton St
Slocomb, AL 36375-5483

Mailing address

141 S Dalton St
PO Box 279
Slocomb, AL 36375-5483
Phone (334) 886-2442

Other identifiers 2

IdentifierTypeStateIssuer
100000176MedicaidAL
1988921OtherPK

Other names 1

  • DALTON PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151214001609 AL Part B Supplier - Mass Immunization (Roster Biller Only) 5193026359 Practice locations: Slocomb, AL

National Provider Directory

National Provider Directory

Locations

141 S Dalton St
Slocomb, AL 36375
Phone (334) 886-2442

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1679584247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 S DALTON ST",
            "address_2": "PO BOX 279",
            "city": "SLOCOMB",
            "state": "AL",
            "postal_code": "363755483",
            "telephone_number": "334-886-2442",
            "fax_number": "339-886-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S DALTON ST",
            "city": "SLOCOMB",
            "state": "AL",
            "postal_code": "363755483",
            "telephone_number": "334-886-2442",
            "fax_number": "339-886-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALTON DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-886-2442",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "103010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000176",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1988921",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DALTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Slocomb, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.