Organization Active NPI

J&J Pharmacy Inc

Doing business as Miller Pharmacy

  • Community/Retail Pharmacy
  • Forest City, IA
National Provider Identifier
1215045539
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
338 Issued in IA
Legal business name
J&J PHARMACY INC
Doing business as
Miller Pharmacy
Practice address
635 E US Highway 9
Forest City, IA 50436-1028
Phone
(641) 585-3931
Fax
(641) 585-1783
NPI assigned
Aug 27, 2006
Last updated
Apr 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Jill Miller
Title
VP
Phone
(641) 585-3931

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 338 IA Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

635 E US Highway 9
Forest City, IA 50436-1028

Mailing address

PO Box 169
Forest City, IA 50436-0169
Phone (641) 585-3931

Other identifiers 2

IdentifierTypeStateIssuer
0137810MedicaidIA
2026553OtherPK

Other names 1

  • MILLER PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930091164 IA DME Supplier - Pharmacy 0749300754 Practice locations: Forest City, IA
O20140220000822 IA Part B Supplier - Mass Immunization (Roster Biller Only) 0749300754 Practice locations: Forest City, IA

National Provider Directory

National Provider Directory

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": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1215045539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 169",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "504360169",
            "telephone_number": "641-585-3931",
            "fax_number": "641-585-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 E US HIGHWAY 9",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "504361028",
            "telephone_number": "641-585-3931",
            "fax_number": "641-585-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&J PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "641-585-3931"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "338",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0137810",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2026553",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILLER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.