NPIMap

Organization Active NPI

Miller Pharmacy Inc

  • Long Term Care Pharmacy
  • Fremont, NE
National Provider Identifier
1700899432
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
714 Issued in NE
Legal business name
MILLER PHARMACY INC
Practice address
322 E 22ND St
Fremont, NE 68025-2608
Phone
(402) 721-1177
Fax
(402) 721-2288
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Authorized official

Name
Mark Vogt, PHARM. D.
Title
President
Phone
(402) 578-9734

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 714 NE Primary

Addresses

Primary practice location

322 E 22ND St
Fremont, NE 68025-2608

Mailing address

322 E 22ND St
Fremont, NE 68025-2608
Phone (402) 721-1177

Other identifiers 1

IdentifierTypeStateIssuer
2055805OtherPK

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

322 E 22nd St
Fremont, NE 68025
Phone (402) 721-1177

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1700899432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 E 22ND ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252608",
            "telephone_number": "402-721-1177",
            "fax_number": "402-721-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 E 22ND ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252608",
            "telephone_number": "402-721-1177",
            "fax_number": "402-721-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "VOGT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-578-9734",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NE",
            "license": "714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2055805",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.