Active NPI
Steve Miller, DPH
- Pharmacist
- Hobart, OK
National Provider Identifier
1477618007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8572
- Practice address
- 304 S Broadway Ave
Hobart, OK 73651-1846 - Phone
- (580) 726-2206
- Fax
- (580) 726-3511
- NPI assigned
- Dec 26, 2006
- 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 | 8572 | OK | Primary |
Addresses
Primary practice location
304 S Broadway Ave
Hobart, OK 73651-1846
Mailing address
304 S Broadway Ave
P.O. Box 192
Hobart, OK 73651-1846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3705300 | Other | OK | NCPD NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8572 | OK | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grinnell Prescription Shop Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Hobart, OK
- NPI 1912063892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1477618007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 S BROADWAY AVE",
"address_2": "P.O. BOX 192",
"city": "HOBART",
"state": "OK",
"postal_code": "736511846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 S BROADWAY AVE",
"city": "HOBART",
"state": "OK",
"postal_code": "736511846",
"telephone_number": "580-726-2206",
"fax_number": "580-726-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "STEVE",
"credential": "DPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "8572",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPD NUMBER",
"identifier": "3705300",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hobart, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.