Individual provider Active NPI

Gary Milhorn II

  • Pharmacist
  • Great Falls, SC
National Provider Identifier
1396293148
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9243 Issued in SC
Practice address
503 Chester Ave Ste a
Great Falls, SC 29055-1207
Phone
(803) 482-2249
Fax
(803) 482-3349
NPI assigned
Sep 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9243 SC Primary

Addresses

Primary practice location

503 Chester Ave Ste a
Great Falls, SC 29055-1207

Mailing address

503 Chester Ave Ste a
Great Falls, SC 29055
Phone (803) 482-2249

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

State licenses

LicenseStateTypeSpecialty
9243SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Milrush LLC Current Accepting new patients
Milrush, LLC Current Accepting new patients

Locations

503 Chester Ave
#A
Great Falls, SC 29055
Phone (803) 482-2249

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26508/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1396293148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 CHESTER AVE STE A",
            "city": "GREAT FALLS",
            "state": "SC",
            "postal_code": "29055",
            "telephone_number": "803-482-2249",
            "fax_number": "803-482-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 CHESTER AVE STE A",
            "city": "GREAT FALLS",
            "state": "SC",
            "postal_code": "290551207",
            "telephone_number": "803-482-2249",
            "fax_number": "803-482-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILHORN",
        "first_name": "GARY",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "9243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.