Individual provider Active NPI

Jason Lang Miles

  • Pharmacist
  • Simi Valley, CA
National Provider Identifier
1912423716
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
59734 Issued in CA
Practice address
1687 Erringer Rd Ste 101
Simi Valley, CA 93065-6509
Phone
(805) 527-9600
Fax
(805) 527-2095
NPI assigned
Aug 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 59734 CA Primary

Addresses

Primary practice location

1687 Erringer Rd Ste 101
Simi Valley, CA 93065-6509

Mailing address

1687 Erringer Rd Ste 101
Simi Valley, CA 93065-6509
Phone (805) 527-9600

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

LicenseStateTypeSpecialty
59734CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
JLM Pharmacy Inc CurrentSince Jul 24, 2022 Accepting new patients

Locations

1687 Erringer Rd
Ste 101
Simi Valley, CA 93065
Phone (805) 527-9600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1912423716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1687 ERRINGER RD STE 101",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656509",
            "telephone_number": "805-527-9600",
            "fax_number": "805-527-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 ERRINGER RD STE 101",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656509",
            "telephone_number": "805-527-9600",
            "fax_number": "805-527-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "JASON",
        "middle_name": "LANG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "59734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.