Active NPI
Mathew Miller, RPH
- Pharmacist
- Sulphur, LA
National Provider Identifier
1487053450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16777
- Practice address
- 525 N Cities Service Hwy
Sulphur, LA 70663-4107 - Phone
- (337) 625-7057
- NPI assigned
- Aug 15, 2014
- Sex
- Male
- 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 | 16777 | LA | Primary |
Addresses
Primary practice location
525 N Cities Service Hwy
Sulphur, LA 70663-4107
Mailing address
525 N Cities Service Hwy
Sulphur, LA 70663-4107
Phone (337) 625-7057
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 |
|---|---|---|---|
| 16777 | LA | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408060800000",
"number": "1487053450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 N CITIES SERVICE HWY",
"city": "SULPHUR",
"state": "LA",
"postal_code": "706634107",
"telephone_number": "337-625-7057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 N CITIES SERVICE HWY",
"city": "SULPHUR",
"state": "LA",
"postal_code": "706634107",
"telephone_number": "337-625-7057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MATHEW",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-15",
"last_updated": "2014-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "16777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sulphur, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.