Active NPI
Troy Pharmacy, LLC
Doing business as Dalton Pharmacy
- Community/Retail Pharmacy
- Troy, AL
National Provider Identifier
1902288731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 114492
- Legal business name
- TROY PHARMACY, LLC
- Doing business as
- Dalton Pharmacy
- Practice address
- 1412 Elba Hwy Ste 1-a
Troy, AL 36079-6020 - Phone
- (334) 697-4920
- Fax
- (334) 403-4765
- NPI assigned
- Jun 29, 2015
- Last updated
- Jun 21, 2023
- 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. Joe A Dalton
- Title
- Owner
- Phone
- (334) 697-4920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 114492 | AL | Primary |
Addresses
Primary practice location
1412 Elba Hwy Ste 1-a
Troy, AL 36079-6020
Mailing address
1412 Elba Hwy Ste 1-a
Troy, AL 36079-6020
Phone (334) 697-4920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174346 | Medicaid | AL |
Other names 1
- Dalton Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200717001445 | AL | Part B Supplier - Pharmacy | 9739503111 | Practice locations: Troy, AL |
National Provider Directory
National Provider Directory- Tax ID family
- Dalton Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1412 Elba Hwy
Ste 1A
Troy, AL 36079
Phone (334) 697-4920
1412 Elba Hwy
Ste B
Troy, AL 36079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687305600000",
"number": "1902288731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 ELBA HWY STE 1-A",
"city": "TROY",
"state": "AL",
"postal_code": "360796020",
"telephone_number": "334-697-4920",
"fax_number": "334-403-4765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 ELBA HWY STE 1-A",
"city": "TROY",
"state": "AL",
"postal_code": "360796020",
"telephone_number": "334-697-4920",
"fax_number": "334-403-4765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TROY PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-29",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A",
"authorized_official_last_name": "DALTON",
"authorized_official_first_name": "JOE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "334-697-4920",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AL",
"license": "114492",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174346",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dalton Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Dalton Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Troy, AL
- Troy Hospital Staffing, LLC
- Troy Housing Services Corp.
- Troy Medical Services, Inc.
- Troy Occupational Therapy, Inc
- Troy Pharmacy, LLC (Dalton Pharmacy)
- Troy Regional Physicians Inc (Surgeons At Troy Regional Physicians Inc.)
- Troy Regional Physicians Inc (Hospitalists at Troy Regional Physicians Inc)
- Troy Regional Physicians Inc (Urgent Care Clinic At Troy Regional Physicians Inc)
- Troy Regional Physicians Inc (Anesthesia at Troy Regional Physicians Inc.)
- Troy Regional Physicians Inc (Gynecology at Troy Regional Physicians Inc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.