Active NPI
Michael Jay Milner, R.PH., J.D.
- Pharmacist
- Fairfax Station, VA
National Provider Identifier
1073883740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202011615
- Practice address
- 7373 Boston Blvd
Pharmacy
Fairfax Station, VA 22039-1926 - Phone
- (703) 249-0011
- NPI assigned
- Jan 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 0202011615 | VA | Primary |
Addresses
Primary practice location
7373 Boston Blvd
Pharmacy
Fairfax Station, VA 22039-1926
Mailing address
7373 Boston Blvd
Pharmacy
Fairfax Station, VA 22039-1926
Phone (703) 249-0011
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
- Credentials
- Juris Doctor, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202011615 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1073883740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7373 BOSTON BLVD",
"address_2": "PHARMACY",
"city": "FAIRFAX STATION",
"state": "VA",
"postal_code": "220391926",
"telephone_number": "703-249-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7373 BOSTON BLVD",
"address_2": "PHARMACY",
"city": "FAIRFAX STATION",
"state": "VA",
"postal_code": "220391926",
"telephone_number": "703-249-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILNER",
"first_name": "MICHAEL",
"middle_name": "JAY",
"name_prefix": "Mr.",
"credential": "R.PH., J.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-11",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202011615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax Station, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.