Martin Eric Miller Jr.

Primary specialty

PharmacistTaxonomy code 183500000X

License

44211 Issued in TN

Practice address

2196 Emporium Dr
Jackson, TN 38305-6004

Phone

(731) 668-1277

NPI assigned

Jul 28, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1548879349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WOODSHIRE CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2196 EMPORIUM DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056004",
            "telephone_number": "731-668-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARTIN",
        "middle_name": "ERIC",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "021422",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "44211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Maria Miller, PT
• Elesa Ann Miller, FNP
• Jesse Alfred Miller Jr., M.D.
• John Adam Miller
• Mark Allen Miller, D.D.S.
• Marvin Tyrone Miller, M.D.
• Perry Michael Miller, IDC
• Prestley Miller
• Preston D Miller III, D.D.S., M.S.
• Raven Larose Miller

• Pharmacist in Jackson, TN
• Providers in Jackson, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.