Active NPI
Brian A Millikin, PHARM.D.
- Pharmacist
- Olive Branch, MS
National Provider Identifier
1972826311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 33708
- Practice address
- 7950 Craft Goodman Frontage Road
Olive Branch, MS 38654 - Phone
- (662) 890-5868
- NPI assigned
- Mar 11, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 33708 | TN | Primary |
| Pharmacist | 183500000X | 010555 | MS |
Addresses
Primary practice location
7950 Craft Goodman Frontage Road
Olive Branch, MS 38654
Mailing address
7950 Craft Goodman Frontage Road
Olive Branch, MS 38654
Phone (662) 890-5868
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010555 | MS | MD | Pharmacist |
| 33708 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1972826311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7950 CRAFT GOODMAN FRONTAGE ROAD",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "38654",
"telephone_number": "662-890-5868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7950 CRAFT GOODMAN FRONTAGE ROAD",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "38654",
"telephone_number": "662-890-5868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLIKIN",
"first_name": "BRIAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-11",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "33708",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "010555",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.