Active NPI
James M. McMillan, CRPH
- Pharmacist
- Live Oak, FL
National Provider Identifier
1265577795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30870
- Practice address
- 911 Pinewood Dr SW
Live Oak, FL 32064-4004 - Phone
- (386) 362-6354
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 30870 | FL | Primary |
Addresses
Primary practice location
911 Pinewood Dr SW
Live Oak, FL 32064-4004
Mailing address
12826 129TH Rd
Live Oak, FL 32060-6675
Phone (386) 362-2451
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS30870 | Other | FL | FLORIDA RPH |
| PU5559 | Other | FL | FLORIDA CRPH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30870 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388620800000",
"number": "1265577795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12826 129TH RD",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320606675",
"telephone_number": "386-362-2451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 PINEWOOD DR SW",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320644004",
"telephone_number": "386-362-6354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLAN",
"first_name": "JAMES",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "CRPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2014-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "30870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA RPH",
"identifier": "PS30870",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA CRPH",
"identifier": "PU5559",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Live Oak, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.