MR. MARK S MILLER (NPI# 1265644017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265644017 |
| Entity Type | Individual |
| Full Name | MR. MARK S MILLER |
| Credential | PHARMD. |
| Practice Address |
450 Old Abe Rd Lac Du Flambeau WI 54538-9682 |
| Practice Telephone | 7153566813 |
| Mailing Telephone | 7153566813 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932731692 | Mark A Miller | Pharmacist | 5431 Sw 35th Dr Ste 200, Gainesville, FL 32608-5277 | 2020-02-10 |
| 1386111250 | Mark Miller | Counselor | 3605 Calumet St, Philadelphia, PA 19129-1603 | 2018-10-30 |
| 1386124873 | Mark E Miller | Dentist | 558 E Bay Ave, Manahawkin, NJ 08050-3340 | 2018-08-15 |
| 1326536335 | Mark Jay Miller | Technician/Technologist | 3617 Sipler Ln, Huntingdon Valley, PA 19006-3223 | 2018-04-25 |
| 1801264148 | Mark J Miller | Counselor | 4141 Highway 11, Rising Fawn, GA 30738-4633 | 2015-09-03 |
| 1427317197 | Mark Anthony Miller | Physical Therapist | 537 West Main St, Brewster, WA 98812-1200 | 2012-05-15 |
| 1790044428 | Mark Ian Miller | Student in an Organized Health Care Education/Training Program | 843 S Sierra Bonita Ave, Los Angeles, CA 90036-4703 | 2012-05-15 |
| 1023384989 | Mark H Miller | Internal Medicine | 6318 17th Ave Ne, Seattle, WA 98115-6809 | 2012-03-26 |
| 1649578816 | Mark A Miller | Pharmacist | 8 Elk Plz, Elkview, WV 25071-9602 | 2011-03-11 |
| 1538399753 | Mark E Miller | Social Worker | 645 S 5th St, Montrose, CO 81401-5710 | 2009-07-22 |
| Street Address |
450 OLD ABE RD |
| City | LAC DU FLAMBEAU |
| State | WI |
| Zip Code | 54538-9682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376598946 | Michael C Boushon | Pharmacist | 450 Old Abe Rd, Lac Du Flambeau, WI 54538-9682 | 2006-05-23 |
| 1598016818 | Nicole Marie Siddell-duran | Dental Hygienist | 450 Old Abe Rd, Lac Du Flambeau, WI 54538-9682 | 2012-09-26 |
| 1003182452 | Danielle L Turner | Dental Hygienist | 450 Old Abe Rd, Lac Du Flambeau, WI 54538-9682 | 2012-03-30 |
| 1699041533 | Ann M Schmitz | Dental Hygienist | 450 Old Abe Rd, Lac Du Flambeau, WI 54538-9682 | 2012-03-26 |
| 1316221468 | Christine Marie Fonger | Dental Hygienist | 450 Old Abe Rd, Lac Du Flambeau, WI 54538-9682 | 2011-10-07 |
| 1811287402 | Linda Jean Kirkpatrick | Dental Hygienist | 450 Old Abe Rd, Lac Du Flambeau, WI 54538-9682 | 2011-04-15 |
| 1407150550 | Carmen E Salinas | Dental Hygienist | 450 Old Abe Rd, Lac Du Flambeau, WI 54538-9682 | 2011-01-04 |
| 1699083949 | Karen Sue Lamp | Dental Hygienist | 450 Old Abe Rd, Lac Du Flambeau, WI 54538-9682 | 2010-09-21 |
| 1225291867 | Ashley Ann Bauknecht | Dental Hygienist | 450 Old Abe Rd, Lac Du Flambeau, WI 54538-9682 | 2008-07-03 |
| 1912169855 | Amber Marissa Johnson | Dental Hygienist | 450 Old Abe Rd, Lac Du Flambeau, WI 54538-9682 | 2008-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265757256 | Stacey Dean | Registered Nurse | 8727 West Squaw Lake Road, Lac Du Flambeau, WI 54538 | 2010-04-01 |
| 1447398532 | Wendy Lindstrom | Counselor | 533 Peace Pipe Rd, Lac Du Flambeau, WI 54538 | 2007-02-02 |
| 1932295581 | Rick Lee Howe | Pharmacist | 450 Ols Abe Road, Lac Du Flambeau, WI 54538 | 2006-10-04 |
| 1902990534 | Timothy P. Obukowicz | Pharmacist | 450 Old Abe Road, Lac Du Flambeau, WI 54538 | 2006-10-03 |
| 1295849420 | Brian D Schafer | Pharmacist | 129 Old Abe Road, Lac Du Flambeau, WI 54538 | 2006-08-17 |
| 1720071723 | Town of Lac Du Flambeau | Ambulance | 614 Wild Rice Avenue, Lac Du Flambeau, WI 54538 | 2005-08-24 |
| 1508223066 | Amber Bickler | Dental Hygienist | 128 Old Abe Road, Lac Du Flambeau, WI 54538 | 2016-01-28 |
| 1689712770 | Linda M Daniels | Counselor | 533 Peace Pipe Rd, Lac Du Flambeau, WI 54538 | 2007-02-02 |
| 1447271408 | Lac Du Flambeau Band of Lake Superior Chippewa Indians | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 129 Old Abe Rd, Lac Du Flambeau, WI 54538 | 2006-07-22 |
| 1477611432 | Gary Louis Gusmerotti | Dentist | 128 Old Abe Rd, Lac Du Flambeau, WI 54538-0128 | 2006-12-04 |
| Find all providers in zip 54538 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295849420 | Brian D Schafer | Pharmacist | 129 Old Abe Road, Lac Du Flambeau, WI 54538 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295123735 | Nate Smith | Pharmacist | 2536 Kendall Ave, Madison, WI 53705-3847 | 2015-01-07 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| 1497187181 | Sarah J Wilczek | Pharmacist | 699 S Green Bay Rd, Neenah, WI 54956-3153 | 2013-08-05 |
| 1528311206 | Meaghan A Mcmurray | Pharmacist | 10932 N Port Washington Rd, Mequon, WI 53092-5031 | 2012-10-18 |
| 1417225731 | Lisa Marie Mlodzik | Pharmacist | 1316 30th Ct, Kenosha, WI 53144-3064 | 2011-12-01 |
| 1083891584 | Tricia Lyn Dissmore | Pharmacist | 806 Greenwood St, Holmen, WI 54636-8003 | 2008-01-28 |
| 1477608354 | Allan T. Mailloux | Pharmacist | 10 E Doty St Ste 210, Madison, WI 53703-3354 | 2007-01-24 |
| 1518062884 | Kristin Ann Higgins | Pharmacist | 726 London Rd, Deerfield, WI 53531-9572 | 2006-09-13 |
| 1619985983 | Anthony G Staresinic | Pharmacist | 2650 Novation Pkwy, Suite 400, Madison, WI 53713-3399 | 2006-08-03 |
| 1689621930 | Lisa Ann Knoff | Pharmacist | 10 Tri-park Way, C/o Appleton Va Clinic, Appleton, WI 54914-1658 | 2006-05-30 |
| Find all providers with the same taxonomy | ||||
| City | LAC DU FLAMBEAU |
| Zip Code | 54538 |
Please comment or provide details below to improve the information on MR. MARK S MILLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.