Organization Active NPI

Millers Medical Arts Inc

  • Community/Retail Pharmacy
  • Boonville, MO
National Provider Identifier
1639633548
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2604519OtherMONCPDP

Other names 1

  • Millers Medical Arts Doing business as

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.

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.

Verify at the official NPI Registry.