Active NPI
Jason Wayne Miller, PHARMD
- Pharmacist
- Seymour, IN
National Provider Identifier
1275963357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26021902A
- Practice address
- 105 W 2ND St
Seymour, IN 47274-2173 - Phone
- (812) 522-5409
- NPI assigned
- Nov 26, 2013
- Last updated
- Nov 4, 2015
- 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 | 26021902A | IN | Primary |
Addresses
Primary practice location
105 W 2ND St
Seymour, IN 47274-2173
Mailing address
6309 Kenwood Dr NE
Georgetown, IN 47122-7515
Phone (812) 207-9202
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26021902A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1275963357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6309 KENWOOD DR NE",
"city": "GEORGETOWN",
"state": "IN",
"postal_code": "471227515",
"telephone_number": "812-207-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W 2ND ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742173",
"telephone_number": "812-522-5409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JASON",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-26",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26021902A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.