Active NPI
Jean Elizabeth Millikan, RPH
- Pharmacist
- Charlotte, NC
National Provider Identifier
1538458823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13207
- Practice address
- 316 S Tryon St
Charlotte, NC 28202-1914 - Phone
- (704) 377-0215
- Fax
- (704) 344-1518
- NPI assigned
- Apr 7, 2011
- Last updated
- Apr 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13207 | NC | Primary |
| Pharmacist | 183500000X | 8839-040 | WI |
Addresses
Primary practice location
316 S Tryon St
Charlotte, NC 28202-1914
Mailing address
8176 Normandy Rd
Denver, NC 28037-8644
Phone (704) 489-8691
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 |
|---|---|---|---|
| 8839-040 | WI | MD | Pharmacist |
| 13207 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302134400000",
"number": "1538458823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8176 NORMANDY RD",
"city": "DENVER",
"state": "NC",
"postal_code": "280378644",
"telephone_number": "704-489-8691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 S TRYON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282021914",
"telephone_number": "704-377-0215",
"fax_number": "704-344-1518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLIKAN",
"first_name": "JEAN",
"middle_name": "ELIZABETH",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-07",
"last_updated": "2011-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "13207",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "8839-040",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.