Organization Active NPI

Miller Principle Management, LLC

Doing business as Scott County Drug

  • Community/Retail Pharmacy
  • Waldron, AR
National Provider Identifier
1952168239
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MILLER PRINCIPLE MANAGEMENT, LLC
Doing business as
Scott County Drug
Practice address
47 Highway 71 Bypass South
Waldron, AR 72958-6910
Phone
(479) 637-0222
Fax
(479) 637-0330
NPI assigned
Mar 4, 2024
Last updated
Jul 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Dr. Howard Olin Miller, PDNPI 1043098502
Title
President
Phone
(479) 637-0222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

47 Highway 71 Bypass South
Waldron, AR 72958-6910

Mailing address

47 Highway 71 S
Waldron, AR 72958-6910
Phone (479) 637-0222

Other names 1

  • Scott County Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250826000570 AR Part B Supplier - Pharmacy 3173023934 1 other NPI on this enrollment
Practice locations: Waldron, AR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Miller Principle MGMT LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

47 Highway 71 Byp S
Waldron, AR 72958
Phone (479) 637-0222

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1952168239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 HIGHWAY 71 S",
            "city": "WALDRON",
            "state": "AR",
            "postal_code": "729586910",
            "telephone_number": "479-637-0222",
            "fax_number": "479-637-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 HIGHWAY 71 BYPASS SOUTH",
            "city": "WALDRON",
            "state": "AR",
            "postal_code": "729586910",
            "telephone_number": "479-637-0222",
            "fax_number": "479-637-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER PRINCIPLE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "OLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-637-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott County Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scott County Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldron, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.