MEDICARE: JA MILLER AND COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy		OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487798674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JA MILLER AND COMPANY

Provider Business Mailing Address
First Line	:	1020 DENNISON AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43201-3497
Country	:	US
Telephone Number	:	614-291-7707
Fax Number	:	614-291-6077

Provider Business Practice Location Address
First Line	:	1020 DENNISON AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43201-3497
Country	:	US
Telephone Number	:	614-291-7707
Fax Number	:	614-291-6077

Authorized Official
Title or Position	:	PRESIDENT, PHARMACIST IN CHARGE
Name	:	MR. ANGELA SUE MILLER
Credential	:	RPH
Telephone Number	:	614-291-7707

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	03/07/2023

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