Active NPI
Brian Allen Miller, PHARM.D.
- Pharmacist
- West Monroe, LA
National Provider Identifier
1205357670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 022042
- Practice address
- 3423 Cypress St
West Monroe, LA 71291-7309 - Phone
- (318) 322-2994
- NPI assigned
- Jul 6, 2017
- Last updated
- Dec 16, 2018
- 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 | 022042 | LA | Primary |
Addresses
Primary practice location
3423 Cypress St
West Monroe, LA 71291-7309
Mailing address
2709 Marquette St
Monroe, LA 71201-2530
Phone (318) 953-0709
Other practice location 1
1201 N Service Rd E
Ruston, LA 71270-2917
Phone (318) 251-0392
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 |
|---|---|---|---|
| 022042 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana CVS Pharmacy LLC | Past | Accepting new patients | |
| Louisiana CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544918400000",
"number": "1205357670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2709 MARQUETTE ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712012530",
"telephone_number": "318-953-0709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3423 CYPRESS ST",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712917309",
"telephone_number": "318-322-2994"
}
],
"practiceLocations": [
{
"address_1": "1201 N Service Rd E",
"address_purpose": "LOCATION",
"city": "Ruston",
"state": "LA",
"postal_code": "712702917",
"country_code": "US",
"telephone_number": "318-251-0392",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "BRIAN",
"middle_name": "ALLEN",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-06",
"last_updated": "2018-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "022042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.