Organization Active NPI

Miller Drug Co Inc.

  • Pharmacy
  • Gary, IN
National Provider Identifier
1013992270
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
60002068A Issued in IN
Legal business name
MILLER DRUG CO INC.
Practice address
540 S Lake St
Gary, IN 46403-2473
Phone
(219) 938-1103
Fax
(219) 938-3252
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Frank J Persic
Title
Pharmacist
Phone
(219) 938-1103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 60002068A IN Primary

Addresses

Primary practice location

540 S Lake St
Gary, IN 46403-2473

Mailing address

540 S Lake St
Gary, IN 46403-2473
Phone (219) 938-1103

National Provider Directory

National Provider Directory

Locations

540 S Lake St
Gary, IN 46403
Phone (219) 938-1103

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013992270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 S LAKE ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464032473",
            "telephone_number": "219-938-1103",
            "fax_number": "219-938-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S LAKE ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464032473",
            "telephone_number": "219-938-1103",
            "fax_number": "219-938-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER DRUG CO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERSIC",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "219-938-1103"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IN",
            "license": "60002068A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.