Organization Active NPI

Jai Chamunda Miller Inc

Doing business as Miller Pharmacy

  • Community/Retail Pharmacy
  • Union City, MI
National Provider Identifier
1174550404
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301004334 Issued in MI
Legal business name
JAI CHAMUNDA MILLER INC
Doing business as
Miller Pharmacy
Practice address
206 N Broadway St
Union City, MI 49094-1154
Phone
(517) 741-3604
Fax
(517) 741-7812
NPI assigned
Jun 26, 2006
Last updated
Apr 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Authorized official

Name
Bhavesh B PatelNPI 1407270580
Title
President
Phone
(517) 741-3604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301004334 MI Primary

Addresses

Primary practice location

206 N Broadway St
Union City, MI 49094-1154

Mailing address

206 N Broadway St
Union City, MI 49094-1154
Phone (517) 741-3604

Other identifiers 3

IdentifierTypeStateIssuer
310320MedicaidMI
0-A2-0255OtherMIBXBS/BCN
3428160MedicaidMI

Other names 1

  • Miller Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

206 N Broadway St
Union City, MI 49094
Phone (517) 741-3604

Practitioners & affiliated clinicians

Practitioners 3

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": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1174550404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N BROADWAY ST",
            "city": "UNION CITY",
            "state": "MI",
            "postal_code": "490941154",
            "telephone_number": "517-741-3604",
            "fax_number": "517-741-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N BROADWAY ST",
            "city": "UNION CITY",
            "state": "MI",
            "postal_code": "490941154",
            "telephone_number": "517-741-3604",
            "fax_number": "517-741-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAI CHAMUNDA MILLER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHAVESH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-741-3604"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301004334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310320",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS/BCN",
            "identifier": "0-A2-0255",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3428160",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILLER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miller Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.