Organization Active NPI

Robert E Dutton

  • Pharmacy
  • Vienna, WV
National Provider Identifier
1881753218
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
SP0550050 Issued in WV
Legal business name
ROBERT E DUTTON
Practice address
3201 Grand Central Ave
Vienna, WV 26105-1539
Phone
(304) 295-9594
Fax
(304) 295-0422
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Earl Dutton, RPH
Title
Owner RPH
Phone
(304) 295-9594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X SP0550050 WV Primary

Addresses

Primary practice location

3201 Grand Central Ave
Vienna, WV 26105-1539

Mailing address

3201 Grand Central Ave
Vienna, WV 26105-1539
Phone (304) 295-9594

Other identifiers 1

IdentifierTypeStateIssuer
0139009000MedicaidWV

Other names 1

  • Dutton Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3201 Grand Central Ave
Vienna, WV 26105
Phone (304) 295-9594

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1881753218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 GRAND CENTRAL AVE",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051539",
            "telephone_number": "304-295-9594",
            "fax_number": "304-295-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 GRAND CENTRAL AVE",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051539",
            "telephone_number": "304-295-9594",
            "fax_number": "304-295-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E DUTTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "DUTTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER RPH",
        "authorized_official_telephone_number": "304-295-9594",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WV",
            "license": "SP0550050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139009000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dutton Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vienna, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.