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
- 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 and National Provider Directory roles.
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
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.