Active NPI
Stephen Miller
- Pharmacist
- Pulaski, TN
National Provider Identifier
1053916270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9153
- Practice address
- 709 W College St
Pulaski, TN 38478-3614 - Phone
- (931) 363-1132
- NPI assigned
- Dec 4, 2020
- Last updated
- Dec 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9153 | TN | Primary |
Addresses
Primary practice location
709 W College St
Pulaski, TN 38478-3614
Mailing address
606 Leatherwood Creek Rd N
Pulaski, TN 38478-7236
Phone (931) 424-6769
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9153 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Tennessee CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1053916270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 LEATHERWOOD CREEK RD N",
"city": "PULASKI",
"state": "TN",
"postal_code": "384787236",
"telephone_number": "931-424-6769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 W COLLEGE ST",
"city": "PULASKI",
"state": "TN",
"postal_code": "384783614",
"telephone_number": "931-363-1132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "STEPHEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-04",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "9153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pulaski, TN
- Courtney Barrows McKeown, M.D.
- Eric Christopher McMasters, PTA
- Matthew Patrick McMasters, DDS
- Meadowbrook Health and Rehabilitation Center LLC
- Barbara L Melton, RN
- Mind Mend Psychiatric Services, PLLC
- Misty Roberts Mitchell, PTA
- Sunny Wade Mitchell, RDN
- Enrique Molina, CRNA
- Melissa Monroe, MSN, BSN, APRN, AGNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.