Active NPI
Millers Medical Arts Inc
- Community/Retail Pharmacy
- Boonville, MO
National Provider Identifier
1639633548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MILLERS MEDICAL ARTS INC
- Practice address
- 800 Main St
Boonville, MO 65233-1658 - Phone
- (660) 882-5208
- NPI assigned
- Jan 24, 2019
- Organization subpart
- Yes
- Parent organization
- MILLERS MEDICAL ARTS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terry Smith, RPH
- Title
- Owner
- Phone
- (660) 885-5208
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
800 Main St
Boonville, MO 65233-1658
Mailing address
800 Main St
Boonville, MO 65233-1658
Phone (660) 882-5208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2604519 | Other | MO | NCPDP |
Other names 1
- Millers Medical Arts
National Provider Directory
National Provider Directory- Part of
- Millers Medical Arts Pharmacy Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Boonville, MO
- NPI 1487403002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600905600000",
"number": "1639633548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 MAIN ST",
"city": "BOONVILLE",
"state": "MO",
"postal_code": "652331658",
"telephone_number": "660-882-5208",
"fax_number": "660-882-8125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MAIN ST",
"city": "BOONVILLE",
"state": "MO",
"postal_code": "652331658",
"telephone_number": "660-882-5208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLERS MEDICAL ARTS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MILLERS MEDICAL ARTS INC",
"enumeration_date": "2019-01-24",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "660-885-5208",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "2604519",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Millers Medical Arts",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boonville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.