Organization Active NPI

Millers Family Pharmacy & Gift Boutique Inc

Doing business as Millers Family Pharmacy

  • Community/Retail Pharmacy
  • Iota, LA
National Provider Identifier
1801836473
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY003535IR Issued in LA
Legal business name
MILLERS FAMILY PHARMACY & GIFT BOUTIQUE INC
Doing business as
Millers Family Pharmacy
Practice address
119 S 5TH St
Suite B
Iota, LA 70543-6105
Phone
(337) 779-2214
Fax
(337) 779-2215
NPI assigned
Jun 8, 2006
Last updated
Dec 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Gregory Miller, PDNPI 1235142530
Title
President
Phone
(337) 779-2214

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Nursing Facility Supplies (DME) 332BN1400X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHY003535IR LA Primary
Long Term Care Pharmacy 3336L0003X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

119 S 5TH St
Suite B
Iota, LA 70543-6105

Mailing address

PO Box 429
Iota, LA 70543-0429
Phone (337) 779-2214

Other identifiers 2

IdentifierTypeStateIssuer
2028743OtherPK
1264105MedicaidLA

Other names 1

  • MILLERS FAMILY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

119 S 5th St
Ste B
Iota, LA 70543
Phone (337) 779-2214

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1801836473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "IOTA",
            "state": "LA",
            "postal_code": "705430429",
            "telephone_number": "337-779-2214",
            "fax_number": "337-779-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S 5TH ST",
            "address_2": "SUITE B",
            "city": "IOTA",
            "state": "LA",
            "postal_code": "705436105",
            "telephone_number": "337-779-2214",
            "fax_number": "337-779-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLERS FAMILY PHARMACY & GIFT BOUTIQUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-779-2214",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY003535IR",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2028743",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1264105",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILLERS FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iota, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.