Organization Active NPI

Millers Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Magnolia, AR
National Provider Identifier
1487833828
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MILLERS PHARMACY INC
Practice address
111 S Court SQ
Magnolia, AR 71753-3511
Phone
(870) 234-2012
Fax
(870) 234-5574
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Ken Miller
Title
Owner
Phone
(870) 234-2012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

111 S Court SQ
Magnolia, AR 71753-3511

Mailing address

111 S Court SQ
Magnolia, AR 71753-3511
Phone (870) 234-2012

Other identifiers 1

IdentifierTypeStateIssuer
133740716MedicaidAR

National Provider Directory

National Provider Directory

Locations

111 S Court Sq
Magnolia, AR 71753
Phone (870) 234-2011

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1487833828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S COURT SQ",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533511",
            "telephone_number": "870-234-2012",
            "fax_number": "870-234-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S COURT SQ",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533511",
            "telephone_number": "870-234-2012",
            "fax_number": "870-234-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLERS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-234-2012"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133740716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.