Organization Active NPI

Pill Mill Inc.

Doing business as Millers Drug Store

  • Pharmacy
  • Margaretville, NY
National Provider Identifier
1114988532
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
013235 Issued in NY
Legal business name
PILL MILL INC.
Doing business as
Millers Drug Store
Practice address
778 Main Street
Margaretville, NY 12455-0350
Phone
(845) 586-4212
Fax
(845) 586-3140
NPI assigned
Mar 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Frederick G Miller
Title
Supervising Pharmacist
Phone
(845) 586-4212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 013235 NY Primary

Addresses

Primary practice location

778 Main Street
Margaretville, NY 12455-0350

Mailing address

PO Box 350
778 Main Street
Margaretville, NY 12455-0350
Phone (845) 586-4212

Other identifiers 3

IdentifierTypeStateIssuer
013235OtherNYSTATE PHARMACY LICENSE
00888353MedicaidNY
3335759OtherNABP

Other names 1

  • Millers Drug Store Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114988532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350",
            "address_2": "778 MAIN STREET",
            "city": "MARGARETVILLE",
            "state": "NY",
            "postal_code": "124550350",
            "telephone_number": "845-586-4212",
            "fax_number": "845-586-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 MAIN STREET",
            "city": "MARGARETVILLE",
            "state": "NY",
            "postal_code": "124550350",
            "telephone_number": "845-586-4212",
            "fax_number": "845-586-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILL MILL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "845-586-4212"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "013235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "013235",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00888353",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3335759",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millers Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Margaretville, NY

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.