Active NPI
Brett Allen Miller
- Pharmacist
- Byron Center, MI
National Provider Identifier
1871816082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302028051
- Practice address
- 701 68TH St SW
Byron Center, MI 49315-8372 - Phone
- (616) 281-8212
- NPI assigned
- Mar 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 5302028051 | MI | Primary |
Addresses
Primary practice location
701 68TH St SW
Byron Center, MI 49315-8372
Mailing address
4070 Sandy Ridge Dr
Dorr, MI 49323-9448
Phone (616) 681-0570
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 |
|---|---|---|---|
| 5302028051 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267574400000",
"number": "1871816082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4070 SANDY RIDGE DR",
"city": "DORR",
"state": "MI",
"postal_code": "493239448",
"telephone_number": "616-681-0570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 68TH ST SW",
"city": "BYRON CENTER",
"state": "MI",
"postal_code": "493158372",
"telephone_number": "616-281-8212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BRETT",
"middle_name": "ALLEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-03",
"last_updated": "2010-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302028051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Byron Center, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.