Active NPI
Jason G McMillin, PHARM.D.
- Pharmacist
- Chicago, IL
National Provider Identifier
1578844940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.294845
- Practice address
- 2817 N Clark St
Chicago, IL 60657-5207 - Phone
- (773) 327-6119
- Fax
- (773) 327-1893
- NPI assigned
- Aug 30, 2011
- Last updated
- Apr 24, 2014
- Sex
- Male
- 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 | 051.294845 | IL | Primary |
| Pharmacist | 183500000X | PS51590 | FL |
Addresses
Primary practice location
2817 N Clark St
Chicago, IL 60657-5207
Mailing address
918 W Gordon Ter Apt 3
Chicago, IL 60613-2073
Phone (773) 960-2183
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS51590 | FL | MD | Pharmacist |
| 051.294845 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398297600000",
"number": "1578844940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 W GORDON TER APT 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132073",
"telephone_number": "773-960-2183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 N CLARK ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575207",
"telephone_number": "773-327-6119",
"fax_number": "773-327-1893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLIN",
"first_name": "JASON",
"middle_name": "G",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-30",
"last_updated": "2014-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.294845",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS51590",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.