Organization Active NPI

Troy Pharmacy, LLC

Doing business as Dalton Pharmacy

  • Community/Retail Pharmacy
  • Troy, AL
National Provider Identifier
1902288731
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
114492 Issued in AL
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
174346MedicaidAL

Other names 1

  • Dalton Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200717001445 AL Part B Supplier - Pharmacy 9739503111 Practice locations: Troy, AL

National Provider Directory

National Provider Directory
Tax ID family
Dalton Pharmacy2 organizations share this tax ID, including this one

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

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.

Verify at the official NPI Registry.