J Mills Enterprises LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07744 Issued in KY

Legal business name

J MILLS ENTERPRISES LLC

Doing business as

Owensboro Family Pharmacy and Wellness

Practice address

720 W Byers Ave
Owensboro, KY 42303-6330

Phone

(270) 683-2400

Fax

(270) 685-4825

NPI assigned

Dec 21, 2015

Last updated

Jul 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jesica Mills, PHARMD, MBANPI 1427423060

Title

Owner, Managing Member, Ao,Pic

Phone

(270) 485-2150

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Owensboro Family Pharmacy and Wellness Doing business as

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.

• Jesica Thomason Mills, PHARMD, MBA, RPH

  • Pharmacotherapy Pharmacist
  • Owensboro, KY
  • NPI 1427423060
  NPD Authorized official

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1861857617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W BYERS AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036330",
            "telephone_number": "270-683-2400",
            "fax_number": "270-685-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W BYERS AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036330",
            "telephone_number": "270-683-2400",
            "fax_number": "270-685-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MILLS ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "JESICA",
        "authorized_official_title_or_position": "OWNER, MANAGING MEMBER, AO,PIC",
        "authorized_official_telephone_number": "270-485-2150",
        "authorized_official_credential": "PHARMD, MBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07744",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2156184",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100392900",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owensboro Family Pharmacy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.