Mills Compounding Pharmacy, LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

MILLS COMPOUNDING PHARMACY, LLC

Practice address

1744 W Maple Rd Ste B
Birmingham, MI 48009-1545

Phone

(248) 633-2880

Fax

(248) 633-2881

NPI assigned

Aug 17, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Pierre M Boutros, R.PH

Title

Pharmacy Director

Phone

(248) 361-6868

Specialties & licenses 1

Addresses

Other names 1

• Mills Compounding Doing business as

Locations

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1306457908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 W MAPLE RD STE B",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091545",
            "telephone_number": "248-633-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 W MAPLE RD STE B",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091545",
            "telephone_number": "248-633-2880",
            "fax_number": "248-633-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLS COMPOUNDING PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "BOUTROS",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "248-361-6868",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mills Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David G. Mikkola, LMSW
• Mitchell S. Milan, D.D.S.
• Michael Joseph Miletic, MD
• Michelle Miletic, MSW
• Cindy R Miller
• Mills Pharmacy & Apothecary LLC
• Mills Pharmacy Inc
• Jerome D Mills, RPH
• John W Mills, D.D.S.
• Elizabeth Milton

• Compounding Pharmacy in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Compounding Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.