Active NPI
John H Dayton
- Community/Retail Pharmacy
- Oakdale, CA
National Provider Identifier
1831244201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY47236
- Legal business name
- JOHN H DAYTON
- Doing business as
- OAKDALE PHARMACY
- Practice address
- 1390 W H St
Suite F
Oakdale, CA 95361-3570 - Phone
- (209) 845-9840
- Fax
- (209) 845-9987
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John H Dayton, RPH
- Title
- Owner Pharmacist
- Phone
- (209) 845-9840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY47236 | CA | Primary |
Addresses
Primary practice location
1390 W H St
Suite F
Oakdale, CA 95361-3570
Mailing address
1390 W H St
Suite F
Oakdale, CA 95361-3570
Phone (209) 845-9840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA472360 | Medicaid | CA |
Other names 1
- OAKDALE PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- John H Dayton
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Sonora, CA
- NPI 1689913840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1831244201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 W H ST",
"address_2": "SUITE F",
"city": "OAKDALE",
"state": "CA",
"postal_code": "953613570",
"telephone_number": "209-845-9840",
"fax_number": "209-845-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 W H ST",
"address_2": "SUITE F",
"city": "OAKDALE",
"state": "CA",
"postal_code": "953613570",
"telephone_number": "209-845-9840",
"fax_number": "209-845-9987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN H DAYTON",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "DAYTON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "209-845-9840",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY47236",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA472360",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OAKDALE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Oakdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.