Millenium Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2012030481 Issued in MO

Legal business name

MILLENIUM CORPORATION

Practice address

763 S New Ballas Rd Ste 100
Creve Coeur, MO 63141-8711

Phone

(215) 968-3130

NPI assigned

Jul 11, 2012

Organization subpart

No

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

Authorized official

Name

Navneet Grewal

Title

President

Phone

(610) 724-0224

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Millennium Pharmacy Doing business as

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1740545169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 S NEW BALLAS RD",
            "address_2": "SUITE 100",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631418704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 S NEW BALLAS RD STE 100",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631418711",
            "telephone_number": "215-968-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENIUM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "GREWAL",
        "authorized_official_first_name": "NAVNEET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-724-0224"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2012030481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136203",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Midwest Hemorrhoid Treatment Center Town & Country LLC
• Midwest Institute for Addiction, Inc
• Midwest Toxicology Group, LLC
• Stephen James Mikola, D.D.S.
• Alyssa Nicole Miles, MA SLP-CCC
• Kimberly Miller, FNP
• Graeme Mindel, M.D.
• Lauren Minden
• Mindful Change STL LLC
• Minimed Distribution Corp.

• Community/Retail Pharmacy in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.