Active NPI
Douglas Eugene Miller, R.PH.
- Pharmacist
- Benson, AZ
National Provider Identifier
1396906558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11088
- Practice address
- 599 W 4TH St
Benson, AZ 85602-6501 - Phone
- (520) 586-7323
- NPI assigned
- Jun 20, 2008
- Last updated
- Jun 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11088 | AZ | Primary |
Addresses
Primary practice location
599 W 4TH St
Benson, AZ 85602-6501
Mailing address
9961 E Sabino Springs PL
Tucson, AZ 85749-7102
Phone (520) 825-4874
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11088 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
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, 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": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1396906558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9961 E SABINO SPRINGS PL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857497102",
"telephone_number": "520-825-4874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 W 4TH ST",
"city": "BENSON",
"state": "AZ",
"postal_code": "856026501",
"telephone_number": "520-586-7323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DOUGLAS",
"middle_name": "EUGENE",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-20",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "11088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.