Chad Russell Miller

Primary specialty

PharmacistTaxonomy code 183500000X

License

26020465A Issued in IN

Practice address

402 W Plaza Dr
Columbia City, IN 46725-1051

Phone

(260) 244-4400

NPI assigned

Nov 2, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1578164141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 N 50 W",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467257842",
            "telephone_number": "260-609-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W PLAZA DR",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251051",
            "telephone_number": "260-244-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CHAD",
        "middle_name": "RUSSELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26020465A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reece McCart, DPT
• Ingrid Marie McClain, OD
• James A. McConnell, D.D.S.
• John Joseph Meier, D.D.S.
• Midwest Oral and Maxillofacial Surgery P C
• Whitney Miller
• Jacqueline Mize, LMHC, ATR-P
• Justice Montgomery, DPT
• Sarah Mossburg
• Madison Lynn Murphy

• Pharmacist in Columbia City, IN
• Providers in Columbia City, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.