Organization Active NPI

Miller Pharmacy Services LLC

Doing business as Prescription Shoppe Pharmacy

  • Pharmacy
  • Ruston, LA
National Provider Identifier
1992064505
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
006536-IR Issued in LA
Legal business name
MILLER PHARMACY SERVICES LLC
Doing business as
Prescription Shoppe Pharmacy
Practice address
104 W Line Ave
Ruston, LA 71270-5044
Phone
(318) 255-7363
Fax
(318) 255-7365
NPI assigned
May 16, 2012
Last updated
Mar 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Joshua Miller, PHARM D
Title
Owner/President
Phone
(318) 255-7363

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 006536-IR LA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

104 W Line Ave
Ruston, LA 71270-5044

Mailing address

104 W Line Ave
Ruston, LA 71270-5044
Phone (318) 255-7363

Other identifiers 2

IdentifierTypeStateIssuer
2135527OtherPK
2201514MedicaidLA

Other names 1

  • Prescription Shoppe Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmerville Drug2 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

104 W Line Ave
Ruston, LA 71270
Phone (318) 255-7363

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1992064505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W LINE AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705044",
            "telephone_number": "318-255-7363",
            "fax_number": "318-255-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W LINE AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705044",
            "telephone_number": "318-255-7363",
            "fax_number": "318-255-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "318-255-7363",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "006536-IR",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135527",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2201514",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescription Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prescription Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.