Active NPI
Robert Terry Dalton Jr., R.PH.
- Pharmacist
- Burnsville, MS
National Provider Identifier
1760896153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-07806
- Practice address
- 603 S Highway 365
Burnsville, MS 38833-9706 - Phone
- (662) 427-0200
- Fax
- (662) 427-0101
- NPI assigned
- Jun 13, 2014
- Last updated
- Jun 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-07806 | MS | Primary |
Addresses
Primary practice location
603 S Highway 365
Burnsville, MS 38833-9706
Mailing address
603 S Highway 365
Burnsville, MS 38833-9706
Phone (662) 427-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-07806 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burns Inc | Pharmacist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Burnsville Discount Drugs
- Community/Retail Pharmacy
- Burnsville, MS
- NPI 1083745541
Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402617600000",
"number": "1760896153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 S HIGHWAY 365",
"city": "BURNSVILLE",
"state": "MS",
"postal_code": "388339706",
"telephone_number": "662-427-0200",
"fax_number": "662-427-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 S HIGHWAY 365",
"city": "BURNSVILLE",
"state": "MS",
"postal_code": "388339706",
"telephone_number": "662-427-0200",
"fax_number": "662-427-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "ROBERT",
"middle_name": "TERRY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-13",
"last_updated": "2014-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-07806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, MS
- BMC LLC. (Burnsville Medical Clinic)
- Burns Inc (Burnsville Discount Drugs)
- Burnsville Health Solutions LLC
- Caring Hands Family Health Care Clinic Inc
- Carrington House Home Health Services
- Emily Dianne Feltman, FNP-C
- Tami Bivins Johnson, FNP
- Daniel Evan Koehlinger, RN, WCC
- Magnolia Regional Health Center
- Katelyn Shaw
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.