CHAD RUSSELL MILLER (NPI# 1578164141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578164141 |
| Entity Type | Individual |
| Full Name | CHAD RUSSELL MILLER |
| Practice Address |
402 W Plaza Dr Columbia City IN 46725-1051 |
| Mailing Address |
3216 N 50 W Columbia City IN 46725-7842 |
| Practice Telephone | 2602444400 |
| Mailing Telephone | 2606098125 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26020465A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144761206 | Chad Miller | Specialist/Technologist | 31433 Longwood Park Ln, Spring, TX 77386-4312 | 2017-03-09 |
| 1437538394 | Chad Miller | Specialist/Technologist | 2820 Nw 122nd St, Suite A, Oklahoma City, OK 73120-1709 | 2015-05-26 |
| 1265522304 | Chad Aaron Miller | Chiropractor | 6200 S 58th St Ste A, Lincoln, NE 68516-6406 | 2006-10-12 |
| 1235113895 | Chad Alan Miller | Podiatrist | 3248 Westbourne Dr, Cincinnati, OH 45248-5140 | 2005-12-06 |
| 1851887285 | Chad Austin Miller | Counselor | 9320 Sw Barbur Blvd Ste 200, Portland, OR 97219-5499 | 2018-07-09 |
| 1659895688 | Chad Miller | Pharmacist | 1204 Elton Rd, Jennings, LA 70546-4136 | 2017-08-01 |
| 1922403435 | Chad L. Miller | Physician Assistant | 3100 Maccorkle Ave Se, Suite 101, Charleston, WV 25304-1223 | 2014-10-27 |
| 1285995175 | Chad Lee Miller | Nurse Anesthetist, Certified Registered | 1301 E H St, Mc Cook, NE 69001-3482 | 2012-06-06 |
| 1144594052 | Chad S Miller | Pharmacist | 2855 Broadway St Ne, Salem, OR 97303-6502 | 2012-02-24 |
| 1417166901 | Chad Jeffrey Miller | Dentist | 3203 Archdale Rd, Archdale, NC 27263-2709 | 2007-05-21 |
| Street Address |
402 W PLAZA DR |
| City | COLUMBIA CITY |
| State | IN |
| Zip Code | 46725-1051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205853413 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 402 W Plaza Dr, Columbia City, IN 46725-1051 | 2006-07-16 |
| 1538769476 | Barbara Lynn Gensic Reed | Pharmacist | 402 W Plaza Dr, Columbia City, IN 46725-1051 | 2020-10-29 |
| 1114524048 | Scott A Lahren | Pharmacist | 402 W Plaza Dr, Columbia City, IN 46725-1051 | 2020-10-05 |
| 1184706095 | Wal-mart Stores East, Lp | Technician/Technologist | 402 W Plaza Dr, Columbia City, IN 46725-1019 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659858652 | Brittany R Ianucilli | Behavior Technician | 1200 W Depoy Dr, Columbia City, IN 46725 | 2018-07-23 |
| 1467908012 | Andrew Ott, LLC | Community/Behavioral Health | 402 N. Washington St., Columbia City, IN 46725 | 2016-09-01 |
| 1972983641 | Chelsey Caldwell | Pediatrics | 1270 E State Road 205 Ste 230, Columbia City, IN 46725 | 2015-06-08 |
| 1861805541 | Piotr Swiatkowski | Physical Therapist | 1260 East State Road 205, Columbia City, IN 46725 | 2014-06-10 |
| 1952644080 | Yvonka L Lower | Respite Care | 2714e700s, Columbiacity, IN 46725 | 2013-03-27 |
| 1508125873 | Mary Margaret Cyrus | Massage Therapist | 3880 E Cider Mill Rd, Columbia City, IN 46725 | 2012-05-08 |
| 1831473834 | Abigail R West | Occupational Therapy Assistant | 612 N Washington St, Columbia City, IN 46725 | 2011-10-10 |
| 1033367123 | Amy K Sadler | Family Medicine | 1270 E S.r. 205, Suite 240, Columbia City, IN 46725 | 2008-09-03 |
| 1366590937 | Rebecca Leigh Corpuz | Physician Assistant | 885 Connexion Way, Suite 200, Columbia City, IN 46725 | 2007-01-08 |
| 1902919582 | Bart Andrew Benzinger | Optometrist | 402 W. Plaza Dr, Wal-mart Vision Center, Columbia City, IN 46725 | 2006-08-16 |
| Find all providers in zip 46725 | ||||
| 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 |
|---|---|---|---|---|
| 1538769476 | Barbara Lynn Gensic Reed | Pharmacist | 402 W Plaza Dr, Columbia City, IN 46725-1051 | 2020-10-29 |
| 1114524048 | Scott A Lahren | Pharmacist | 402 W Plaza Dr, Columbia City, IN 46725-1051 | 2020-10-05 |
| 1861039653 | Matthew William Bessesen | Pharmacist | 621 Country Side Dr, Columbia City, IN 46725-1101 | 2019-11-29 |
| 1356987325 | Robert Fred Sausaman Jr. | Pharmacist | 621 Country Side Dr, Columbia City, IN 46725-1101 | 2019-11-25 |
| 1619513199 | Dimpal Chaudhari | Pharmacist | 621 Country Side Dr, Columbia City, IN 46725-1101 | 2019-11-20 |
| 1780230466 | Scott Patrick Keillor | Pharmacist | 286 W Walker Way, Columbia City, IN 46725-1336 | 2019-08-17 |
| 1700372307 | Amanda Knowles | Pharmacist | 1260 E State Road 205, Columbia City, IN 46725-9492 | 2018-07-06 |
| 1427547454 | Madison Lynn Murphy | Pharmacist | 1260 E State Road 205, Columbia City, IN 46725-9492 | 2018-05-04 |
| 1457849952 | Charles Anthony Jinks | Pharmacist | 1260 E State Road 205, Columbia City, IN 46725-9492 | 2018-04-30 |
| 1003222308 | Jessica Baker | Pharmacist | 1260 E State Road 205, Columbia City, IN 46725-1697 | 2014-07-08 |
| Find all providers in COLUMBIA CITY | ||||
| City | COLUMBIA CITY |
| Zip Code | 46725 |
Please comment or provide details below to improve the information on CHAD RUSSELL 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.