Jennifer A Millen, RPH
Individual provider Active NPI Pharmacist · Bellevue, MI
NPI 1346525540 · NPPES record last updated Jul 28, 2020
Key facts
- NPI
- 1346525540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302032321 (MI)
- Practice address
- 117 N Main St
Bellevue, MI 49021-1231 - Phone
- (269) 763-9521
- Fax
- (269) 763-2119
- NPI assigned
- Oct 19, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302032321 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Pharmacy Inc | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients | |
| Hometown Pharmacy Inc | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302032321 | MI | Yes |
Addresses
Primary practice location
117 N Main St
Bellevue, MI 49021-1231
Mailing address
117 N Main St
Bellevue, MI 49021-1231
Phone (269) 763-9521
Other providers in Bellevue, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.