Organization Active NPI

Miller Drug Co Inc

  • Community/Retail Pharmacy
  • Oneonta, AL
National Provider Identifier
1629138714
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
106785 Issued in AL
Legal business name
MILLER DRUG CO INC
Practice address
212 1St Ave East
Oneonta, AL 35121
Phone
(205) 625-4421
Fax
(205) 625-5107
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Nora F Jernigan, CERTIFIED PT
Title
Co Owner Secretary Treasure
Phone
(205) 625-4421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 106785 AL Primary

Addresses

Primary practice location

212 1St Ave East
Oneonta, AL 35121

Mailing address

PO Box 280
Oneonta, AL 35121
Phone (205) 625-4421

Other identifiers 1

IdentifierTypeStateIssuer
10000223ZMedicaidAL

National Provider Directory

National Provider Directory

Locations

212 1st Ave E
Oneonta, AL 35121
Phone (205) 625-4421

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629138714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "35121",
            "telephone_number": "205-625-4421",
            "fax_number": "205-625-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 1ST AVE EAST",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "35121",
            "telephone_number": "205-625-4421",
            "fax_number": "205-625-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JERNIGAN",
        "authorized_official_first_name": "NORA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CO OWNER SECRETARY TREASURE",
        "authorized_official_telephone_number": "205-625-4421",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CERTIFIED PT"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "106785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10000223Z",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.