Active NPI
Millers Pharmacy Inc
- Long Term Care Pharmacy
- Wyalusing, PA
National Provider Identifier
1730719147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MILLERS PHARMACY INC
- Practice address
- 41857 US RT 6
Farm & Home Plaza
Wyalusing, PA 18853 - Phone
- (570) 746-1004
- Fax
- (570) 746-9470
- NPI assigned
- Jan 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly S Clouse, PHARMD
- Title
- Pharmacy Manager
- Phone
- (570) 746-1004
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
41857 US RT 6
Farm & Home Plaza
Wyalusing, PA 18853
Mailing address
PO Box 459
Wyalusing, PA 18853-0459
Phone (570) 746-1004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0077321670003 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Millers Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Wyalusing, PA
- NPI 1467573840
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
- Sayre, PA
- NPI 1194027086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579824000000",
"number": "1730719147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 459",
"city": "WYALUSING",
"state": "PA",
"postal_code": "188530459",
"telephone_number": "570-746-1004",
"fax_number": "570-746-9470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41857 US RT 6",
"address_2": "FARM & HOME PLAZA",
"city": "WYALUSING",
"state": "PA",
"postal_code": "18853",
"telephone_number": "570-746-1004",
"fax_number": "570-746-9470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLERS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-24",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A",
"authorized_official_last_name": "CLOUSE",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "570-746-1004",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0077321670003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wyalusing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.