Active NPI
Colin Del Valle
- Pharmacist
- Dayton, OH
National Provider Identifier
1871330514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03444380
- Practice address
- 5045 N Main St
Dayton, OH 45415-3636 - Phone
- (937) 279-0468
- NPI assigned
- Jul 10, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 03444380 | OH | Primary |
Addresses
Primary practice location
5045 N Main St
Dayton, OH 45415-3636
Mailing address
5045 N Main St
Dayton, OH 45415-3636
Phone (937) 279-0468
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03444380 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
5045 N Main St
Dayton, OH 45415
Phone (937) 279-0468
Organizations & group practices 2
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": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1871330514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5045 N MAIN ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454153636",
"telephone_number": "937-279-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5045 N MAIN ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454153636",
"telephone_number": "937-279-0468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL VALLE",
"first_name": "COLIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03444380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.