Mij LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

202623 Issued in AL

Legal business name

MIJ LLC

Practice address

1970 Andrews Ave
Ozark, AL 36360-3726

Phone

(334) 350-3671

Fax

(334) 350-3672

NPI assigned

Jun 27, 2013

Organization subpart

No

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

Authorized official

Name

Shakir Meghani

Title

Owner

Phone

(334) 718-9768

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Progressive Pharmacy Doing business as

Tax ID family

Mij LLC2 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.

• Mij LLC

  • Community/Retail Pharmacy
  • Dothan, AL
  • NPI 1922448547
  NPD tax ID

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1063852689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 HARTFORD HWY",
            "address_2": "SUITE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054927",
            "telephone_number": "334-699-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 ANDREWS AVE",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363603726",
            "telephone_number": "334-350-3671",
            "fax_number": "334-350-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "MEGHANI",
        "authorized_official_first_name": "SHAKIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-718-9768"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "202623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147359",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166432",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Davis McLeod, ALC
• Zach McLeod, PHARMD.
• Lynette Medley
• Meghani Medical, PC
• Amy Mellinger, LPC
• Chelsea Mills, PT
• Ronee Renee Miltier, RBT
• Amber Mitchell
• Taylor Moody, PHARM.D
• Tessa Moody

• Community/Retail Pharmacy in Ozark, AL
• Providers in Ozark, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.