Active NPI
Kirk Eugene Milam, PHARM D
- Pharmacist
- Bentonville, AR
National Provider Identifier
1104925825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 08315
- Practice address
- 316 NW Lasalle Dr
Bentonville, AR 72712-4465 - Phone
- (479) 271-9007
- NPI assigned
- Sep 21, 2006
- 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 | 08315 | AR | Primary |
Addresses
Primary practice location
316 NW Lasalle Dr
Bentonville, AR 72712-4465
Mailing address
316 NW Lasalle Dr
Bentonville, AR 72712-4465
Phone (479) 271-9007
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08315 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104925825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 NW LASALLE DR",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727124465",
"telephone_number": "479-271-9007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 NW LASALLE DR",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727124465",
"telephone_number": "479-271-9007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILAM",
"first_name": "KIRK",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "08315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.