Organization Active NPI

Miles Drug Company

  • Community/Retail Pharmacy
  • Atlanta, TX
National Provider Identifier
1336248376
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
01282 Issued in TX
Legal business name
MILES DRUG COMPANY
Practice address
122 N East St
Atlanta, TX 75551
Phone
(903) 796-2815
Fax
(903) 796-0821
NPI assigned
Sep 22, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Robert L Miles
Title
Pharmacist Owner
Phone
(903) 796-2815

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 11264 TX
Community/Retail Pharmacy 3336C0003X 01282 TX Primary

Addresses

Primary practice location

122 N East St
Atlanta, TX 75551

Mailing address

PO Box 150
122 N East St
Atlanta, TX 75551
Phone (903) 796-2815

Other identifiers 2

IdentifierTypeStateIssuer
4503290OtherNABP
110120MedicaidTX

National Provider Directory

National Provider Directory

Locations

122 N East St
Atlanta, TX 75551
Phone (903) 796-2815

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1336248376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "address_2": "122 N EAST ST",
            "city": "ATLANTA",
            "state": "TX",
            "postal_code": "75551",
            "telephone_number": "903-796-2815",
            "fax_number": "903-796-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N EAST ST",
            "city": "ATLANTA",
            "state": "TX",
            "postal_code": "75551",
            "telephone_number": "903-796-2815",
            "fax_number": "903-796-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "903-796-2815",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "11264",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "01282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4503290",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110120",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.