Individual provider Active NPI

Debra L Milligan, PHARMACIST

  • Pharmacist
  • Hazelwood, MO
National Provider Identifier
1457567513
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
041073 Issued in MO
Practice address
815 Hazelwest Dr Ste 100
Hazelwood, MO 63042-1762
Phone
(314) 895-3300
Fax
(314) 451-8585
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 041073 MO Primary

Addresses

Primary practice location

815 Hazelwest Dr Ste 100
Hazelwood, MO 63042-1762

Mailing address

7025 Howdershell Rd
Suite K
Hazelwood, MO 63042-3811
Phone (314) 895-3300

Other identifiers 1

IdentifierTypeStateIssuer
606786705MedicaidMO

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
041073MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Debbie S Pharmacy LLC CurrentSince Apr 25, 2021 Accepting new patients
Gifts Scripts & More Inc. Pharmacist Past Accepting new patients

Locations

815 Hazelwest Dr
Ste 100
Hazelwood, MO 63042
Phone (314) 895-3300

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1457567513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 HOWDERSHELL RD",
            "address_2": "SUITE K",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630423811",
            "telephone_number": "314-895-3300",
            "fax_number": "314-895-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 HAZELWEST DR STE 100",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421762",
            "telephone_number": "314-895-3300",
            "fax_number": "314-451-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIGAN",
        "first_name": "DEBRA",
        "middle_name": "L",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2021-04-21",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "041073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "606786705",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.