Abbeville Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

113492 Issued in AL

Legal business name

ABBEVILLE PHARMACY LLC

Doing business as

Dalton Pharmacy

Practice address

615 Ozark Rd
Suite B
Abbeville, AL 36310-2629

Phone

(334) 585-0246

Fax

(334) 585-0336

NPI assigned

Feb 26, 2011

Last updated

Oct 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joe Dalton, RPH

Title

Owner

Phone

(334) 585-0246

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dalton Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

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

{
    "created_epoch": "1298678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1700183753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 OZARK RD",
            "address_2": "SUITE B",
            "city": "ABBEVILLE",
            "state": "AL",
            "postal_code": "363102629",
            "telephone_number": "334-585-0246",
            "fax_number": "334-585-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 OZARK RD",
            "address_2": "SUITE B",
            "city": "ABBEVILLE",
            "state": "AL",
            "postal_code": "363102629",
            "telephone_number": "334-585-0246",
            "fax_number": "334-585-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBEVILLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-26",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-585-0246",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126466",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129040",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dalton Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 1 Oak Therapy, LLC
• Abbeville Fire & Rescue
• James C. Abshire, LPC
• Alabama Department of Public Health
• Arad Incorporated
• Bagby Dialysis LLC (Henry County Dialysis)
• Michael Dillon Barron, ATC

• Community/Retail Pharmacy in Abbeville, AL
• Providers in Abbeville, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.