NPIMap

Organization Active NPI

Miller Pharmacy North

  • Community/Retail Pharmacy
  • Fremont, NE
National Provider Identifier
1154491462
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1627 Issued in NE
Legal business name
MILLER PHARMACY NORTH
Practice address
322 E 22ND St
Fremont, NE 68025-2608
Phone
(402) 721-5433
NPI assigned
Nov 8, 2006
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
Gary Jurgenson
Title
Co-Owner
Phone
(402) 721-5433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1627 NE Primary

Addresses

Primary practice location

322 E 22ND St
Fremont, NE 68025-2608

Mailing address

322 E 22ND St
Fremont, NE 68025-2608

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154491462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 E 22ND ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 E 22ND ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252608",
            "telephone_number": "402-721-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER PHARMACY NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JURGENSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "402-721-5433"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "1627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

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.