JACK MILLER (NPI# 1528444304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528444304 |
| Entity Type | Individual |
| Full Name | JACK MILLER |
| Practice Address |
1262 S. Conwell Stc Casper WY 82601 |
| Practice Telephone | 3038293800 |
| Mailing Telephone | 3038293800 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 19267 | CO | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 2395 | WY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396127569 | Jack Parker Miller Jr. | Family Medicine | 2000 E Greenville St Ste 3600, Anmed Health Family Medicine Residency Prog., Anderson, SC 29621-1725 | 2015-06-24 |
| 1407130198 | Jack Lawrence Miller | Massage Therapist | 7620 N Hartman Ln Ste 184, Tucson, AZ 85743-7485 | 2011-09-29 |
| 1619274867 | Jack Glenn Miller | Naturopath | 1308 N Stockton Hill Rd Ste A-153, Kingman, AZ 86401-5139 | 2011-02-24 |
| 1033350889 | Jack M. Miller | Obstetrics & Gynecology | 6406 E 108th St, Tulsa, OK 74137-8907 | 2009-03-07 |
| 1073770764 | Jack Randolph Miller | Dentist | 2078 Ne Professional Ct, Bend, OR 97701-6077 | 2008-05-20 |
| 1801912191 | Jack L Miller | Preventive Medicine | 220 Cobb Pkwy N, Suite 400, Marietta, GA 30062-3581 | 2007-03-21 |
| 1245377589 | Jack A Miller | Psychiatry & Neurology | 384 West Rd, Alford, MA 01266-9756 | 2007-01-30 |
| 1598830465 | Jack J. Miller | Dentist | 3716 Pontoon Rd, Granite City, IL 62040-4252 | 2006-11-22 |
| 1497824627 | Jack Edwin Miller | Psychiatry & Neurology | 765 Baywood Dr, #231, Petaluma, CA 94954 | 2006-11-06 |
| 1942288949 | Jack W. Miller | Dentist | 2203 Sweetbriar St, Wichita, KS 67204-5518 | 2006-01-09 |
| Street Address |
1262 S. CONWELL STC |
| City | CASPER |
| State | WY |
| Zip Code | 82601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472715 | Kira Christine Schaab | Student in an Organized Health Care Education/Training Program | University of Wyoming Fmrp - Casper 1522 East A Street, Casper, WY 82601 | 2020-06-23 |
| 1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
| 1225534050 | Stephanie Wendling | Social Worker | 143 S Summit St., Casper, WY 82601 | 2018-04-02 |
| 1457877987 | Deer Creek Dentistry, PC | Dentist | 514 South Durbin Street, Casper, WY 82601 | 2017-08-16 |
| 1679096382 | Rachael Kristin Clark | Case Management | 2317 Absaroka Trail, Bar Nunn, WY 82601 | 2017-07-25 |
| 1366998692 | Trenton Vonburg | Occupational Therapy Assistant | 2744 Fairdale Ave, Casper, WY 82601 | 2016-08-28 |
| 1619326618 | Traci L Aguilar | Massage Therapist | 221 S. Walcott, Casper, WY 82601 | 2016-06-09 |
| 1801256656 | Anita Walker | Speech-Language Pathologist | 851 Werner Ct., Ste. 100, Sensational Kids, Casper, WY 82601 | 2016-03-07 |
| 1437556453 | Kelly Jo Plessman | Nurse Practitioner | 2521 East 15th Street, Casper, WY 82601 | 2014-11-20 |
| 1568868453 | Nina Pridham | Chiropractor | 3075 W Homa Hills Rd, Casper, WY 82601 | 2014-11-05 |
| Find all providers in zip 82601 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187159 | Tara Hensley | Pharmacist | 971 Waterford, Casper, WY 82609-3234 | 2020-05-30 |
| 1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
| 1548661168 | Jeri Costel | Pharmacist | 6350 E 2nd St, Casper, WY 82609-4264 | 2014-09-15 |
| 1639506231 | Roberta Daly | Pharmacist | 4000 E 2nd St, Casper, WY 82609-2385 | 2013-09-27 |
| 1447552989 | Darrell L Dillon | Pharmacist | 1375 Cy Ave, Casper, WY 82604-3513 | 2010-12-02 |
| 1992005557 | Elizabeth Louise Gutierrez | Pharmacist | 300 S Wyoming Blvd, Casper, WY 82609-0000 | 2010-10-29 |
| 1245414499 | Krista J Sarvis | Pharmacist | 1533 East A Street, Casper, WY 82601 | 2007-12-24 |
| 1679696587 | Kimberly Christine Nimmo | Pharmacist | 1100 Granada Ave, Casper, WY 82601-5933 | 2007-04-06 |
| 1417075037 | Kristin A. Saul | Pharmacist | 4641 Sw Wyoming Blvd, Casper, WY 82601 | 2007-03-26 |
| 1487790382 | Richard Leroy Johnson | Pharmacist | 2546 E 2nd St Ste 100, Casper, WY 82609-2062 | 2007-01-29 |
| Find all providers in CASPER | ||||
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| 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.