Mills Pharmacy at Bluff Park Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

112103 Issued in AL

Legal business name

MILLS PHARMACY AT BLUFF PARK INC

Practice address

2148 Tyler Rd
Ste 100
Hoover, AL 35226-1513

Phone

(205) 823-9500

Fax

(205) 823-0097

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Josh Hardin, PHARMD

Title

Owner

Phone

(205) 427-0955

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• Mills Pharmacy at Bluff Park Doing business as
• Robert's Discount Pharmacy, Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taylor Moore

  • Pharmacist
  • Hoover, AL
  • NPI 1164168258
  NPD
• Shelby Battles

  • Pharmacist
  • Hoover, AL
  • NPI 1114491651
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1629166830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26679",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352600679",
            "telephone_number": "205-871-9007",
            "fax_number": "205-874-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 TYLER RD",
            "address_2": "STE 100",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352261513",
            "telephone_number": "205-823-9500",
            "fax_number": "205-823-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLS PHARMACY AT BLUFF PARK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-427-0955",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003300",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1995031",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mills Pharmacy at Bluff Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Robert's Discount Pharmacy, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Harold Keith Miller, DMD
• Joshua Bailey Miller, D.O.
• Selena Michelle Miller, LCSW
• Kristine Y Milliron, OTR/L, CHT
• Steven M Milliron, PT
• Mills Specialty Pharmacy LLC
• Mills Specialty Pharmacy, LLC
• Rebecca Milstead
• Deanna Minard, PHARMD
• Bradley William Minich, MPT

• Community/Retail Pharmacy in Hoover, AL
• Providers in Hoover, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.