John Mills

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

07939 Issued in MS

Practice address

9025 Highway 64
Lakeland, TN 38002-8448

Phone

(901) 383-2265

NPI assigned

Dec 9, 2019

Last updated

Feb 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1275170268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 CAROLYN MITCHELL DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386540420",
            "telephone_number": "901-830-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 HIGHWAY 64",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380028448",
            "telephone_number": "901-383-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-09",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "33957",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MS",
            "license": "07939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "john.mills@stores.kroger.com",
            "affiliation": "N",
            "address_1": "9025 Highway 64",
            "city": "Lakeland",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380028448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "john.mills@stores.kroger.com",
            "affiliation": "N",
            "address_1": "9025 Highway 64",
            "city": "Lakeland",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380028448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "JOhn",
            "affiliation": "N",
            "endpointDescription": "Lakeland",
            "address_1": "9025 Highway 64",
            "city": "Lakeland",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380028448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "John",
            "affiliation": "N",
            "endpointDescription": "Lakeland",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Lakeland",
            "address_1": "9025 Highway 64",
            "city": "Lakeland",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380028448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Lakeland, TN
• Providers in Lakeland, TN by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.