Active NPI
Joseph Wayne Miller
- Pharmacist
- Bremen, IN
National Provider Identifier
1831792282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26016085A
- Practice address
- 1150 W Plymouth St
Bremen, IN 46506-1842 - Phone
- (574) 546-3797
- Fax
- (574) 546-3431
- NPI assigned
- Nov 18, 2020
- Last updated
- Nov 18, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26016085A | IN | Primary |
Addresses
Primary practice location
1150 W Plymouth St
Bremen, IN 46506-1842
Mailing address
1150 W Plymouth St
Bremen, IN 46506-1842
Phone (574) 546-3797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26016085A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1831792282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 W PLYMOUTH ST",
"city": "BREMEN",
"state": "IN",
"postal_code": "465061842",
"telephone_number": "574-546-3797",
"fax_number": "574-546-3431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 W PLYMOUTH ST",
"city": "BREMEN",
"state": "IN",
"postal_code": "465061842",
"telephone_number": "574-546-3797",
"fax_number": "574-546-3431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JOSEPH",
"middle_name": "WAYNE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-18",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26016085A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bremen, IN
- Marshall County Family Dentistry, PC
- Keyna Ann Martinez, M.D.
- Michael R McClaid, MD
- Diana Renee Mechelay, PHARMD
- Michiana Concierge Family Medicine
- Brittanee Nelson, RD
- Northern Indiana Rehab Hospital, LLC
- Northern Indiana Rehab Hospital, LLC (Doctors Neuromedical Hospital & Brain Institute)
- Northern Indiana Rehab Hospital, LLC (Doctor's Neuromedical Hospital & Research Institute)
- Trevor Phenis, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.