Jody Sue Mills, PHARMD

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

47598 Issued in CA

Practice address

129 Clearwater Way
Rancho Mirage, CA 92270-1754

Phone

(909) 855-2450

Fax

(928) 453-0926

NPI assigned

Oct 7, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Jody Sue Pearson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1639404759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 PIMA DR S",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035040",
            "telephone_number": "909-855-2450",
            "fax_number": "928-453-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 CLEARWATER WAY",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701754",
            "telephone_number": "909-855-2450",
            "fax_number": "928-453-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "JODY",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "47598",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "CA",
            "license": "47598",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "47598",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "PEARSON",
            "middle_name": "SUE",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna L. Miller, PTA
• Elijah Miller
• Janet Lynn Miller, M.A., CCC-SP
• Kristina Miller
• Michael Paul Milligan, MD
• Todd Edward Miner, PT
• Evan R Minkoff, DO
• Ranjeet Minocha, M.D.
• Mirage Aesthetic Concepts Surgical Center
• Mirage Ambulatory Surgery Center, Inc

• Geriatric Pharmacist in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Geriatric Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.