MR. TRACEY R DAILEY (NPI# 1205834637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205834637 |
| Entity Type | Individual |
| Full Name | MR. TRACEY R DAILEY |
| Practice Address |
1100 E Walnut Ave Suite 16 Dalton GA 30721-4183 |
| Mailing Address |
2461 Highway 225 S Chatsworth GA 30705-6042 |
| Practice Telephone | 7062266000 |
| Practice Fax Number | 7062263786 |
| Mailing Telephone | 7065174600 |
| Enumeration Date | 2005-07-10 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH016829 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00932588B | 05 | |
| GA | DEA NO (FAMILY PHARMACY) | BF7582201 | 01 |
| GA | PHARMACIST LICENSE | RPH016829 | 01 |
| GA | PHARMACY LICENSE NO | PHRE008559 | 01 |
| GA | 00932588A | 05 |
| Street Address |
1100 E WALNUT AVE SUITE 16 |
| City | DALTON |
| State | GA |
| Zip Code | 30721-4183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366621005 | Amit Jayantibhai Patel | Dentist | 1100 E Walnut Ave, Suite 9&10, Dalton, GA 30721-4183 | 2007-10-30 |
| 1568551919 | Juan Carlos Malpartida | Internal Medicine | 1100 E Walnut Ave, Suite #15, Dalton, GA 30721-4183 | 2006-10-12 |
| 1144207549 | Caincare, Inc | Pharmacy | 1100 E Walnut Ave, Dalton, GA 30721-4183 | 2005-12-27 |
| 1871570275 | Egor Enterprises, Inc | Pharmacy | 1100 E Walnut Ave, Dalton, GA 30721-4183 | 2005-12-27 |
| 1831197961 | Ameta K Hare | Pharmacist | 1100 E Walnut Ave, Dalton, GA 30721-4185 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417322942 | Alison Gobel | Case Manager/Care Coordinator | 2611 Clevland Hwy, Dalton, GA 30721 | 2015-12-09 |
| 1528433026 | Crystal Sparks | Case Manager/Care Coordinator | 2611 Cleveland Highway, Dalton, GA 30721 | 2015-12-09 |
| 1043524838 | Quality Care Concepts, Inc. | Durable Medical Equipment & Medical Supplies | 121 Tilton Road, Dalton, GA 30721 | 2010-08-04 |
| 1538490081 | Jennifer Sawyer | Counselor | 720 S. Glenwood Ave, Ste 112, Dalton, GA 30721 | 2010-01-22 |
| 1831210673 | Linda E. Minter | Case Manager/Care Coordinator | 932 Williams Rd. Nw, Dalton, GA 30721 | 2007-04-02 |
| 1265595318 | M Edwin Caylor Dds PC | Dentist | 2880 Cleveland Hwy, Dalton, GA 30721 | 2006-12-19 |
| 1295823003 | Candler Road Dental, PC | Dentist | 2107 E. Walnut Ave., Dalton, GA 30721 | 2006-10-10 |
| 1508872466 | Family Walk-in Clinic | Family Medicine | 1100 E Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-31 |
| 1225056823 | James L Coone | Family Medicine | 1100 E. Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-18 |
| 1770517591 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1205 N Glenwood Road, Dalton, GA 30721 | 2006-07-10 |
| Find all providers in zip 30721 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365462 | Yogin Patel | Pharmacist | 98 W Walnut Ave, Dalton, GA 30720-8477 | 2020-10-29 |
| 1760874960 | Arnold Hill Jr. | Pharmacist | 1287 Cleveland Hwy, Dalton, GA 30721-8675 | 2015-02-24 |
| 1679962229 | Heather Ridgway | Pharmacist | 111 Altamont Ave, Dalton, GA 30720-5910 | 2015-01-21 |
| 1962831453 | Amir Parsad | Pharmacist | 1205 N Glenwood Ave, Dalton, GA 30721-2603 | 2013-11-05 |
| 1548553167 | Michael Ivan Jacoby | Pharmacist | 192 Locust Ln, Dalton, PA 18414-9557 | 2011-05-16 |
| 1508157645 | Tammy White | Pharmacist | 80 S Waterford Rd, Dalton, PA 18414-7751 | 2011-04-24 |
| 1598080418 | Suzanne Louise Redmon | Pharmacist | 1203 Cleveland Hwy, Dalton, GA 30721-8674 | 2010-04-03 |
| 1780916379 | Thomas B Rollins | Pharmacist | 1308 W Walnut Ave, Dalton, GA 30720-3827 | 2010-02-05 |
| 1851551188 | Nathan John Ott | Pharmacist | 1287 N Glenwood Ave, Dalton, GA 30721-2603 | 2008-06-10 |
| 1891975207 | Charles David Maret | Pharmacist | 128 Huntington Rd, Dalton, GA 30720-3854 | 2007-11-14 |
| Find all providers in DALTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.