Miller Drug

Primary specialty

PharmacyTaxonomy code 333600000X

License

263819 Issued in OK

Legal business name

MILLER DRUG

Practice address

11101 Surrey Hills Blvd
Yukon, OK 73099-8155

Phone

(405) 373-1717

Fax

(405) 373-3954

NPI assigned

Aug 31, 2006

Last updated

Nov 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Chris Miller, DOCTOR OF PHARMACYNPI 1356444350

Title

Owner

Phone

(405) 373-1717

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Chris Miller, DPH

  • Pharmacist
  • Yukon, OK
  • NPI 1356444350
  NPD Authorized official
• Renae M Kraft, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Yukon, OK
  • NPI 1144625138
  NPD (past)
• Jennifer Ann Shaffer Barbee, PHARM.D

  • Pharmacist
  • Yukon, OK
  • NPI 1033490990
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1386755031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 SURREY HILLS BLVD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998155",
            "telephone_number": "405-373-1717",
            "fax_number": "405-373-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 SURREY HILLS BLVD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998155",
            "telephone_number": "405-373-1717",
            "fax_number": "405-373-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-373-1717",
        "authorized_official_credential": "DOCTOR OF PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "263819",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPOP",
            "identifier": "3714006",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100810830B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Buckley, LPC, LLC
• Michael D. Furgeson, M. D.,Inc.
• Kelly Lyn Mignone, RBT
• Richelle Milburn
• Alexander Corneluis Miles
• Deidre Kaye Miller
• Latoya Monique Miller
• Lauren Marie Miller, PA-C
• Melissa J Miller
• Terri Sue Miller, LADC

• Pharmacy in Yukon, OK
• Providers in Yukon, OK by specialty
• Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.