Individual provider Active NPI

John Clay Mills, RPH.

  • Pharmacist
  • Battle Mountain, NV
National Provider Identifier
1326799727
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
08707 Issued in NV
Practice address
990 Broyles Ranch Rd
Battle Mountain, NV 89820-2633
Phone
(775) 635-2323
Fax
(775) 635-3213
NPI assigned
Jan 17, 2022
Last updated
Jan 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 08707 NV Primary

Addresses

Primary practice location

990 Broyles Ranch Rd
Battle Mountain, NV 89820-2633

Mailing address

PO Box 548
Battle Mountain, NV 89820-0548
Phone (775) 635-2323

Other identifiers 1

IdentifierTypeStateIssuer
2808902MedicaidNV

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
08707NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mills Pharmacy PastSince Jan 26, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1326799727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "BATTLE MOUNTAIN",
            "state": "NV",
            "postal_code": "898200548",
            "telephone_number": "775-635-2323",
            "fax_number": "775-635-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 BROYLES RANCH RD",
            "city": "BATTLE MOUNTAIN",
            "state": "NV",
            "postal_code": "898202633",
            "telephone_number": "775-635-2323",
            "fax_number": "775-635-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "JOHN",
        "middle_name": "CLAY",
        "credential": "RPH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "08707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2808902",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Mountain, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.