Organization Active NPI

Abf Inc

Doing business as Miller's Pharmacy

  • Community/Retail Pharmacy
  • Covington, TN
National Provider Identifier
1275879389
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5121 Issued in TN
Legal business name
ABF INC
Doing business as
Miller's Pharmacy
Practice address
110 Star Shopping Ctr St
Covington, TN 38019-3000
Phone
(901) 475-0535
NPI assigned
Dec 17, 2012
Last updated
Dec 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Authorized official

Name
Betsy A Miller, PHARM DNPI 1174732887
Title
Pharmacist
Phone
(901) 861-9521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5121 TN Primary

Addresses

Primary practice location

110 Star Shopping Ctr St
Covington, TN 38019-3000

Mailing address

956 Eastwood Ter
Collierville, TN 38017-1312
Phone (901) 861-9521

Other names 1

  • Miller's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160707000597 TN Part B Supplier - Mass Immunization (Roster Biller Only) 3678865995 Practice locations: Covington, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2056871Miller's Pharmacy110 Star Shopping Center St, Covington, TN 38019Certificate of waiverApr 3, 2027

National Provider Directory

National Provider Directory

Locations

110 Star Shopping Ctr St
Covington, TN 38019
Phone (901) 475-0535

Practitioners & affiliated clinicians

Practitioners 2

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": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1275879389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 EASTWOOD TER",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380171312",
            "telephone_number": "901-861-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 STAR SHOPPING CTR ST",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193000",
            "telephone_number": "901-475-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "901-861-9521",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "5121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.