Organization Active NPI

Miller Pharmacy Inc

Doing business as Miller Pharmacy East

  • Community/Retail Pharmacy
  • Fremont, NE
National Provider Identifier
1417968926
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3023 Issued in NE
Legal business name
MILLER PHARMACY INC
Doing business as
Miller Pharmacy East
Practice address
1900 E Military Ave
Ste 220
Fremont, NE 68025-5494
Phone
(402) 721-1100
Fax
(402) 721-0861
NPI assigned
Aug 10, 2006
Last updated
Jun 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Authorized official

Name
Mark VogtNPI 1114581014
Title
Owner,Ao
Phone
(402) 578-9734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 3023 NE Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

1900 E Military Ave
Ste 220
Fremont, NE 68025-5494

Mailing address

1900 E Military Ave
Ste 220
Fremont, NE 68025-5494
Phone (402) 721-1100

Other identifiers 1

IdentifierTypeStateIssuer
2151261OtherPK

Other names 1

  • Miller Pharmacy East Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1900 E Military Ave
Ste 220
Fremont, NE 68025
Phone (531) 666-0250

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1417968926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E MILITARY AVE",
            "address_2": "STE 220",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255494",
            "telephone_number": "402-721-1100",
            "fax_number": "402-721-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E MILITARY AVE",
            "address_2": "STE 220",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255494",
            "telephone_number": "402-721-1100",
            "fax_number": "402-721-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "VOGT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER,AO",
        "authorized_official_telephone_number": "402-578-9734"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "3023",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151261",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller Pharmacy East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, NE

Sources for this page

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