Active NPI
Tricia Lynn Millbrand, RPH
- Pharmacist
- Port Huron, MI
National Provider Identifier
1457477267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302030272
- Practice address
- 2601 Electric Ave
Port Huron, MI 48060-6587 - Phone
- (810) 966-3150
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 5302030272 | MI | Primary |
Addresses
Primary practice location
2601 Electric Ave
Port Huron, MI 48060-6587
Mailing address
8929 Bartel Rd
Columbus, MI 48063-4305
Phone (586) 727-0611
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 |
|---|---|---|---|
| 5302030272 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457477267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8929 BARTEL RD",
"city": "COLUMBUS",
"state": "MI",
"postal_code": "480634305",
"telephone_number": "586-727-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 ELECTRIC AVE",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480606587",
"telephone_number": "810-966-3150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLBRAND",
"first_name": "TRICIA",
"middle_name": "LYNN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302030272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.