Active NPI
Nancy Milledge
- Pharmacist
- Clearwater, KS
National Provider Identifier
1689058315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11695
- Practice address
- 900 E Ross St
Clearwater, KS 67026-7849 - Phone
- (620) 584-4044
- Fax
- (620) 584-4044
- NPI assigned
- Jul 13, 2015
- Last updated
- Jul 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11695 | KS | Primary |
Addresses
Primary practice location
900 E Ross St
Clearwater, KS 67026-7849
Mailing address
1809 E Elk Ridge Ave
Goddard, KS 67052-8551
Phone (785) 466-6810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11695 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quier Pharmacy LLC | Current | Accepting new patients | |
| Wal-Mart Stores Inc | Past | Accepting new patients |
Locations
130 E Ross St
Ste 111
Clearwater, KS 67026
Phone (620) 584-3784
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wal-Mart Pharmacy 10-3369
- Community/Retail Pharmacy
- Clearwater, KS
- NPI 1497158349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436745600000",
"number": "1689058315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 E ELK RIDGE AVE",
"city": "GODDARD",
"state": "KS",
"postal_code": "670528551",
"telephone_number": "785-466-6810",
"fax_number": "620-584-4044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E ROSS ST",
"city": "CLEARWATER",
"state": "KS",
"postal_code": "670267849",
"telephone_number": "620-584-4044",
"fax_number": "620-584-4044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLEDGE",
"first_name": "NANCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-13",
"last_updated": "2015-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "11695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, KS
- Veronica Herrera
- Elizabeth Ann House, PHYSICAL THERAPIST
- Lighthouse Rehabilitation LLC
- Carol Manes, RN
- Karl L May, D.C.
- Brianne Montes
- Lila M Mourning, ARNP-C
- David Ira Papish, D.O.
- Pinnacle Health Facilities Xxxii LP (Clearwater Nursing & Rehabilitation Center)
- Pinnacle Health Facilities Xxxii LP (Clearwater Village)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.