MILLINGTON PHARMACY
NPI 1043620479
Pharmacy - Community/Retail Pharmacy in Millington, MI

Active since May 07, 2014CLIA 23D2200915 · Waiver
4729 MAIN ST, MILLINGTON, MI 48746(989) 871-2820(989) 871-2823 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Millington Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILLINGTON PHARMACY (NPI 1043620479) is a healthcare organization registered as a community/retail pharmacy in Millington, Michigan and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Thomas Edward Duesbout, Pharmacy Owner, as its authorized official.

NPPES Registry Identity

NPI1043620479
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMILLINGTON PHARMACY LLC
Location Address4729 MAIN STMillington, MI 48746-9076
Mailing AddressPo Box 440Millington, MI 48746 · (989) 871-2820 · Fax (989) 871-2823
Fax(989) 871-2823
Organization SubpartNo
Authorized OfficialThomas Edward DuesboutPharmacy Owner · (989) 871-2820
Enumeration DateMay 7, 2014
Last NPPES UpdateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
NPI 1043620479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
4729 MAIN ST, Millington, MI 48746

Other Names 1

Doing Business AsMillington Pharmacy

Other Identifiers 2

Other7365250001MI · Ptan
Medicaid2850831MI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2200915

Millington Pharmacy · Millington, MI
Active · expires Nov 17, 2026
CLIA Number23D2200915
Laboratory TypePharmacy
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorThomas E. Duesbout II
Laboratory Phone(989) 871-2820
Laboratory LocationMillington Pharmacy4729 Main Street, Millington, MI 48746
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
58 services58 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
50 services50 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Millington Pharmacy carries, from the Medicare DMEPOS supplier directory.

Millington Pharmacy

DMEPOS supplier · Millington, MIOperated by Millington Pharmacy LLC

Accepts Medicare assignment

Millington Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20487305
Medicare Participant SinceSeptember 15, 2014
Supplier Location8542 State RdMillington, MI 48746
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Millington Pharmacy LLC's NPI number?

The NPI number for Millington Pharmacy LLC is 1043620479. It was assigned to this organization in the NPPES registry on May 7, 2014. The provider is doing business as Millington Pharmacy.

Where is Millington Pharmacy LLC located?

Millington Pharmacy LLC is located at 4729 Main St, Millington, MI 48746. The listed phone number is (989) 871-2820.

What is Millington Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Millington Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Millington Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Millington Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2200915) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Millington Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Millington Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Millington Pharmacy LLC was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.