Derek Miller, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302038915 Issued in MI

Practice address

132 Douglas Ave
Holland, MI 49424-6514

Phone

(616) 396-2959

NPI assigned

Apr 3, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Woodward Detroit CVS, LLC

  • Community/Retail Pharmacy
  • Holland, MI
  • NPI 1679822381
  NPD (past)

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1881126373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 DOUGLAS AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494246514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 DOUGLAS AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494246514",
            "telephone_number": "616-396-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DEREK",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302038915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leeann Millard, LLBSW
• Miller Chiropractic LLC
• Alexis Miller
• Anna Miller
• Curtis Wade Miller, D.C.
• Heather Ashley Miller, D.C.
• Joy Angeline Miller
• Lynda T Miller, MSPT
• Philip Miller, LPC LLMFT
• Tricia R Miller, MD

• Pharmacist in Holland, MI
• Providers in Holland, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.