Mills Pharmacy & Apothecary LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009328 Issued in MI

Legal business name

MILLS PHARMACY & APOTHECARY LLC

Doing business as

Mills Pharmacy & Apothecary

Practice address

1744 W Maple Rd
Ste a
Birmingham, MI 48009-1545

Phone

(248) 644-5060

Fax

(248) 644-5576

NPI assigned

Feb 8, 2010

Last updated

Oct 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pierre Boutros, PHARMD

Title

Pharmacist/Owner

Phone

(248) 644-5060

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mills Pharmacy & Apothecary Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vitoria Berisha

  • Pharmacy Technician
  • Troy, MI
  • NPI 1285325258
  NPD

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1700118361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 W MAPLE RD",
            "address_2": "SUITE A",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "48009",
            "telephone_number": "248-644-5060",
            "fax_number": "248-644-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 W MAPLE RD",
            "address_2": "STE A",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091545",
            "telephone_number": "248-644-5060",
            "fax_number": "248-644-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLS PHARMACY & APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "BOUTROS",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "248-644-5060",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009328",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123755",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mills Pharmacy & Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mitchell S. Milan, D.D.S.
• Michael Joseph Miletic, MD
• Michelle Miletic, MSW
• Cindy R Miller
• Mills Compounding Pharmacy, LLC (Mills Compounding)
• Mills Pharmacy Inc
• Jerome D Mills, RPH
• John W Mills, D.D.S.
• Elizabeth Milton
• Mindfulness Counseling Services LLC (Mindfulness Counseling)

• Community/Retail Pharmacy in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.