Millers Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR04474 Issued in AR

Legal business name

MILLERS DRUG STORE INC

Practice address

231 S Main St
Malvern, AR 72104-3736

Phone

(501) 332-2351

Fax

(501) 337-9705

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Lynn Miller

Title

President

Phone

(501) 332-2351

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MILLER'S DRUG STORE Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sable Lynn Emerson, PHARMD

  • Pharmacist
  • Malvern, AR
  • NPI 1720679681
  NPD

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1801985452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 S MAIN ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721043736",
            "telephone_number": "501-332-2351",
            "fax_number": "501-337-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S MAIN ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721043736",
            "telephone_number": "501-332-2351",
            "fax_number": "501-337-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLERS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-332-2351"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR04474",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1993252",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135720407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILLER'S DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacquelyn McMahon, CMP
• Ashlyn Meece
• Melissa Chambers LPC Inc
• Angela Merrell, RECOVERY ASSISTANT
• Keith L Merriweather, MHPP
• Beth Minyard
• Alexandria Mitchell
• Bobbie Mitchell
• Catina Mitchell
• Chavon Mitchell

• Community/Retail Pharmacy in Malvern, AR
• Providers in Malvern, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.