MR. JASON DOUGLAS MILLER (NPI# 1952692790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952692790 |
| Entity Type | Individual |
| Full Name | MR. JASON DOUGLAS MILLER |
| Credential | PHARM D |
| Practice Address |
1921 Coborn Boulevard St. Cloud MN 56301 |
| Mailing Address |
8173 112th St Nw Annandale MN 55302-2304 |
| Practice Telephone | 3202515505 |
| Mailing Telephone | 3202492602 |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2016-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 120389 | MN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 361660000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174039549 | Jason Christopher Miller | Specialist | 275 Frederick St, Hanover, PA 17331-3614 | 2017-12-21 |
| 1063922201 | Jason Miller | Community Health Worker | 3774 S Sunnyvale Dr, West Valley City, UT 84120-3142 | 2017-10-02 |
| 1750822938 | Jason Michael Miller | Counselor | 1043 Forest Dr, Stroudsburg, PA 18360-1914 | 2017-03-20 |
| 1174942775 | Jason Miller | Registered Nurse | Usameddac-japan, Bg Sams Army Health Clinic, Unit 45011, Apo, AP 96343-5011 | 2014-04-10 |
| 1851656722 | Jason Larry Miller | Physical Therapist | 3251 W 5400 S, Taylorsville, UT 84129-3170 | 2012-07-06 |
| 1154681187 | Jason Ronald Miller | Licensed Practical Nurse | 11309 Ne 359th St, La Center, WA 98629-3643 | 2012-05-23 |
| 1194965079 | Jason Everett Miller | Chiropractor | 21 Columbus Ave Ste 206, San Francisco, CA 94111-2100 | 2009-03-04 |
| 1255586822 | Jason Miller | Physical Therapist | 2679 Hawthorne Ave, Union, NJ 07083-4927 | 2008-11-24 |
| 1639391584 | Jason R Miller | Specialist/Technologist | Oklahoma State University, Athletics Center, Stillwater, OK 74078 | 2007-05-02 |
| 1427272962 | Jason S Miller | Dentist | 6100 Preston Rd, Ste # 230, Frisco, TX 75034 | 2007-04-13 |
| Street Address |
1921 COBORN BOULEVARD |
| City | ST. CLOUD |
| State | MN |
| Zip Code | 56301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1316453442 | Amber Grengs | Behavior Technician | 3721 23rd St S Ste 201, Saint Cloud, MN 56301 | 2017-12-27 |
| 1124532999 | Ashley Aune Lewandowski | Chiropractor | 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 | 2017-11-30 |
| 1962923680 | Inspired By You Home Care, LLC | Home Health | 2700 1st Street N, Suite 202, St Cloud, MN 56301 | 2017-07-03 |
| 1487189569 | Brett Finberg | Pharmacy Technician | 141 33rd Ave South, Saint Cloud, MN 56301 | 2017-04-26 |
| 1629513221 | Robert Schug | Pharmacy Technician | 141 33rd Ave S, Saint Cloud, MN 56301 | 2017-01-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| 1558728600 | Language Partners | Interpreter | 400 1st St S, Suite 600, St. Cloud, MN 56301 | 2016-01-20 |
| 1679981856 | Quality Homecare Services Inc | Home Health | 3450 W Germain St, Ste 206, St Cloud, MN 56301 | 2014-07-31 |
| 1063759546 | Grand St Paul Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2420 Division St, St. Cloud, MN 56301 | 2013-01-03 |
| Find all providers in zip 56301 | ||||
| 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 |
|---|---|---|---|---|
| 1891039061 | Joshua Samuel | Pharmacist | 4073 13th Street, St Cloud Pharmacy, St. Cloud, FL 34769 | 2012-11-12 |
| 1962590547 | Howard Smith | Pharmacist | 4855 East Irlo Bronson Hwy, St. Cloud, FL 34771 | 2006-10-10 |
| 1043223779 | Ryan D Lundell | Pharmacist | St. Cloud Veterans Affairs Medical Center, 4801 8th Street North, St. Cloud, MN 56303-2099 | 2006-08-14 |
| 1154592087 | Chris Freeman | Pharmacist | 4801 Veterans Dr, Va Medical Center, St. Cloud, MN 56303 | 2008-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1679172522 | Cari Michelle Labonne | Pharmacist | 4202 Creekwood Pl, Hermantown, MN 55811-3692 | 2020-10-21 |
| 1073112983 | Katie Sue Fairchild | Pharmacist | 2301 E Frontage Rd, Litchfield, MN 55355 | 2020-10-21 |
| 1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
| 1619576626 | Jessica Margaret Dulli | Pharmacist | 5241 Lincoln Dr Apt 204, Edina, MN 55436-2702 | 2020-10-21 |
| 1649879875 | Dale Rudolph | Pharmacist | 320 22nd Ave Ne, Waseca, MN 56093-2670 | 2020-10-19 |
| 1134728520 | Herve Bertrand Kengne Mbakam | Pharmacist | 1800 Windsor Dr S, Shakopee, MN 55379-8073 | 2020-10-18 |
| 1821696402 | Leah Fischer | Pharmacist | 817 11th St N, New Ulm, MN 56073-1374 | 2020-10-15 |
| 1003414780 | Loren Leroy Carver | Pharmacist | 424 3rd St N, Stillwater, MN 55082-4836 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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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.