Skico Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SKICO INC

Doing business as

Miller's Pharmacy Long-Term Care

Practice address

420 S Detroit St
Lagrange, IN 46761-2310

Phone

(260) 463-7464

Fax

(260) 463-8150

NPI assigned

May 22, 2024

Organization subpart

No

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

Authorized official

Name

Bradley Ryan Crawford, PHARMDNPI 1164892931

Title

Pharmacy Manager

Phone

(260) 463-7464

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Miller's Pharmacy Long-Term Care Doing business as

Tax ID family

Skico Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Skico Inc

  dba Millers Pharmacy

  • Community/Retail Pharmacy
  • Lagrange, IN
  • NPI 1972672822
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Crawford, PHARM.D.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Lagrange, IN
  • NPI 1164892931
  NPD Authorized official

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1437998028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S DETROIT ST",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467612310",
            "telephone_number": "260-463-7464",
            "fax_number": "260-463-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S DETROIT ST",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467612310",
            "telephone_number": "260-463-7464",
            "fax_number": "260-463-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKICO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "260-463-7464",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200259580A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller's Pharmacy Long-Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharp Medical Practice
• Rhonda L Sharp, MD
• Leonard Shetler
• Stefanie Irene Shire, APN
• Chrystal Gail Shutt, NUTRITIONIST
• Skico Inc (Millers Pharmacy)
• Tiffany Nicole Smith, NP
• Ariel Spencer, M.D.
• Angie Stinson, FNP-C
• Annastasia Stover

• Long Term Care Pharmacy in Lagrange, IN
• Providers in Lagrange, IN by specialty
• Long Term Care Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.