Active NPI
David Miller, R.PH.
- Pharmacist
- Fulton, MO
National Provider Identifier
1255766770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042408
- Practice address
- 1701 N Bluff St
Fulton, MO 65251-2499 - Phone
- (573) 642-9255
- Fax
- (573) 642-5596
- NPI assigned
- Sep 4, 2013
- 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 | 042408 | MO | Primary |
Addresses
Primary practice location
1701 N Bluff St
Fulton, MO 65251-2499
Mailing address
1701 N Bluff St
Fulton, MO 65251-2499
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042408 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | 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.
-
dba Walmart Pharmacy 10-0051
- Community/Retail Pharmacy
- Fulton, MO
- NPI 1306863667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1255766770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 N BLUFF ST",
"city": "FULTON",
"state": "MO",
"postal_code": "652512499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N BLUFF ST",
"city": "FULTON",
"state": "MO",
"postal_code": "652512499",
"telephone_number": "573-642-9255",
"fax_number": "573-642-5596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-04",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "042408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fulton, MO
- Donna G Merritt, M. ED
- Cameron Kay Meyer, MD
- Michael T. Basnett Ddspc Basnett Family Dentistry
- Mid-Missouri Hearing and Balance, Inc.
- Ashley Miller, PHARM. D.
- Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy #11315)
- Missouri Em-I Medical Services PC
- Laura Elizabeth Morris, M.D.
- Mendy Lynn Mullins, LCSW
- Grace Gombe Munthali, APRN, NP,RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.