Active NPI
Philip Milatovich, BA,BS,MS
- Pharmacist
- Vancouver, WA
National Provider Identifier
1588928576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH 00062919
- Practice address
- 3707 Main St
Vancouver, WA 98663-2227 - Phone
- (360) 993-8604
- Fax
- (360) 993-8608
- NPI assigned
- Jun 25, 2012
- 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 | PH 00062919 | WA | Primary |
| Pharmacist | 183500000X | RPH-0010759 | OR |
Addresses
Primary practice location
3707 Main St
Vancouver, WA 98663-2227
Mailing address
3707 Main St
Vancouver, WA 98663-2227
Phone (360) 993-8604
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
- Bachelor of Arts, Bachelor of Science, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0010759 | OR | MD | Pharmacist |
| PH 00062919 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1588928576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3707 MAIN ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986632227",
"telephone_number": "360-993-8604",
"fax_number": "360-993-8608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 MAIN ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986632227",
"telephone_number": "360-993-8604",
"fax_number": "360-993-8608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILATOVICH",
"first_name": "PHILIP",
"credential": "BA,BS,MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-25",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH 00062919",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0010759",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.