Isaac Grant McMillan, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

807 Issued in TN

Practice address

1905 N Jackson St
Ste 500
Tullahoma, TN 37388-2200

Phone

(931) 454-0482

Fax

(931) 461-1191

NPI assigned

May 30, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ike G McMillan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Tullahoma, TN
  • NPI 1871527515
  NPD (past)
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)

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

{
    "created_epoch": "1306713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306713600000",
    "number": "1225322985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 N JACKSON ST",
            "address_2": "STE 500",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882200",
            "telephone_number": "931-454-0482",
            "fax_number": "931-461-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 N JACKSON ST",
            "address_2": "STE 500",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882200",
            "telephone_number": "931-454-0482",
            "fax_number": "931-461-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "ISAAC",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-30",
        "last_updated": "2011-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IKE",
            "last_name": "MCMILLAN",
            "middle_name": "G",
            "prefix": "DR.",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrew David McCall, BS
• Terry Lee McClarney, D.C.
• Patricia Mae McDougall, NP
• Michael McKinnie, DDS
• Mallory Holter McLaren, BCBA, LBA
• Michelle Ann McMillan, FNP-BC, APRN
• Ashley McMurtry, PT
• Medical Imaging Consultants, PC
• Medport, Inc.
• Medworks of Tullahoma PC

• Pharmacist in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2011; 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.