Jason Douglas Miller, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

120389 Issued in MN

Practice address

1921 Coborn Boulevard
St. Cloud, MN 56301

Phone

(320) 251-5505

NPI assigned

Apr 27, 2011

Last updated

Oct 17, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1952692790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8173 112TH ST NW",
            "city": "ANNANDALE",
            "state": "MN",
            "postal_code": "553022304",
            "telephone_number": "320-249-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 COBORN BOULEVARD",
            "city": "ST. CLOUD",
            "state": "MN",
            "postal_code": "56301",
            "telephone_number": "320-251-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JASON",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-27",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "120389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361660000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John P Miley, LAC
• Allison M Miller
• Candace Joellen Miller
• Christopher Bruce Miller, MD
• Eric John Miller
• Jeanette C Miller, PA C
• Jeffrey R Miller, LPN
• Julie Austin Miller, RN
• Kate Nicole Miller, CTRS
• Laura Jane Miller, RN, BSN, PHN

• Pharmacist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.