David Ray McMillin, D.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

11769 Issued in OK

Practice address

312 W 12TH St
Ada, OK 74820-6406

Phone

(580) 332-8888

Fax

(580) 332-7965

NPI assigned

Aug 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Dicus Thrif-T-Wise Pharmacy, Inc.

  dba Dicus Pharmacy

  • Community/Retail Pharmacy
  • Ada, OK
  • NPI 1336257146
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750392114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 AUGUSTA DR",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748208576",
            "telephone_number": "580-332-0983",
            "fax_number": "580-332-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W 12TH ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748206406",
            "telephone_number": "580-332-8888",
            "fax_number": "580-332-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLIN",
        "first_name": "DAVID",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "D.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "11769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "11769",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelly Cristine McGill, DPH
• Tiffany McKinnis
• Ryan Patrick McMahan, LPC
• Bryan McMillan
• Diane McMillan, MS, UNDER LMFT SUPER
• Michaella Chyenne McNeill
• Jeffrey Thomas McPhail, APRN-CNS
• Carmaleta S McQuay, MHR
• Gaytha Gail McReynolds, MOT, OTRL
• Nonnie McVeigh

• Pharmacist in Ada, OK
• Providers in Ada, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.