Organization Active NPI

Smith & Stewart Drug

  • Pharmacy
  • Toccoa, GA
National Provider Identifier
1962556225
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHRE006339 Issued in GA
Legal business name
SMITH & STEWART DRUG
Doing business as
stewarts downtown discount drugs
Practice address
102 Sage St N
Toccoa, GA 30577-2336
Phone
(706) 886-3141
Fax
(706) 886-4000
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Jeff A Dalton, RPH, PHARM D
Title
Owner and President of Corporation
Phone
(706) 886-3141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHRE006339 GA Primary

Addresses

Primary practice location

102 Sage St N
Toccoa, GA 30577-2336

Mailing address

102 N Sage St
Toccoa, GA 30577-3678
Phone (706) 886-3141

Other identifiers 3

IdentifierTypeStateIssuer
1115054OtherGANABP #
GA6339OtherGASTATE PHARMACY LICENSE #
000191023AMedicaidGA

Other names 1

  • stewarts downtown discount drugs Doing business as

National Provider Directory

National Provider Directory

Locations

102 N Sage St
Toccoa, GA 30577
Phone (706) 886-3141

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1962556225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N SAGE ST",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305773678",
            "telephone_number": "706-886-3141",
            "fax_number": "706-886-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SAGE ST N",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305772336",
            "telephone_number": "706-886-3141",
            "fax_number": "706-886-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH & STEWART DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "706-886-3141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH, PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE006339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "1115054",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE #",
            "identifier": "GA6339",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000191023A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "stewarts downtown discount drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toccoa, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.