Jill Shannon Dalton

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

2013007305 Issued in MO

Practice address

120 S Bishop Ave
Rolla, MO 65401-4215

Phone

(573) 426-3338

NPI assigned

Jun 26, 2023

Sex

Female

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

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Rolla, MO
  • NPI 1235372749
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1801572649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16640 MARIES ROAD 442",
            "city": "VICHY",
            "state": "MO",
            "postal_code": "655808298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S BISHOP AVE",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014215",
            "telephone_number": "573-426-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "JILL",
        "middle_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MO",
            "license": "2013007305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanesa Culwell
• Karrie A. Cunningham, MD
• Lisa A Cunningham, FNP
• Dabci Market Share, LLC
• Jeannie Gloria Dake
• Daniel B Bruin DMD LLC
• Gina Marie Daniels, P.T.
• Sean M Danker-Smith, LPC
• Michelle Daron, LPN
• Lynne Grace Davidson, MA, LPC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Rolla, MO
• Providers in Rolla, MO by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.