Active NPI
Jacob R Milliron, PHARM D
- Pharmacist
- Soldotna, AK
National Provider Identifier
1992952725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1655
- Practice address
- 299 N Binkley St
Soldotna, AK 99669-7523 - Phone
- (907) 262-3800
- NPI assigned
- Aug 22, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1655 | AK | Primary |
Addresses
Primary practice location
299 N Binkley St
Soldotna, AK 99669-7523
Mailing address
47450 Saint Andrews CT
Kenai, AK 99611-5943
Phone (907) 283-8001
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 |
|---|---|---|---|
| 1655 | AK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219363200000",
"number": "1992952725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47450 SAINT ANDREWS CT",
"city": "KENAI",
"state": "AK",
"postal_code": "996115943",
"telephone_number": "907-283-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 N BINKLEY ST",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996697523",
"telephone_number": "907-262-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLIRON",
"first_name": "JACOB",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-22",
"last_updated": "2008-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "1655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Soldotna, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.