Jason Carl Miller, PHARM D

Individual provider Active NPI Pharmacist · Tellico Plains, TN

NPI 1508970773 · NPPES record last updated Nov 13, 2020

Key facts

NPI
1508970773
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
23881 (TN)
Practice address
707 Veterans Memorial Drive
Tellico Plains, TN 37385
Phone
(423) 253-6003
Fax
(423) 253-6888
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
23881TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Wellness Group Inc. Current
since Nov 15, 2020
Accepting new patients

Locations

707 Veterans Memorial Dr
Tellico Plains, TN 37385
Phone (423) 253-6003

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23881 TN Yes

Addresses

Primary practice location

707 Veterans Memorial Drive
Tellico Plains, TN 37385

Mailing address

PO Box 608
Tellico Plains, TN 37385-0608
Phone (142) 325-3600

Other providers in Tellico Plains, TN

All providers in Tellico Plains, TN · Pharmacist in Tennessee

Sources for this page

Verify at the official NPI Registry.