Miller Brothers Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0552518 Issued in WV

Legal business name

MILLER BROTHERS PHARMACY LLC

Doing business as

Miller Brothers Pharmacy

Practice address

271 Main St
Madison, WV 25130-1219

Phone

(304) 784-4803

NPI assigned

Oct 19, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Michael Miller, R.PH.NPI 1295204873

Title

Owner/Pharmacist in Charge

Phone

(304) 784-4803

Specialties & licenses 1

Addresses

Other names 1

• Miller Brothers Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawn Miller

  • Pharmacist
  • Madison, WV
  • NPI 1295204873
  NPD Authorized official

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1497266258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 OLD RIVER RD",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301522",
            "telephone_number": "304-369-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 MAIN ST",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301219",
            "telephone_number": "304-784-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER BROTHERS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "304-784-4803",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller Brothers Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virginia Messer
• Kala Mae Messinger
• Nora Messinger
• MGF Group Corp
• Rebecca Lynn Middaugh-Wulf
• Brittany Michelle Miller
• Cassy T Miller
• Goldie Lee Miller
• Mishalla Miller
• Scotty Miller I

• Community/Retail Pharmacy in Madison, WV
• Providers in Madison, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.