Active NPI
Fred Miller
- Pharmacist
- Margaretville, NY
National Provider Identifier
1053386714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 034205
- Practice address
- 778 Main Street
Margaretville, NY 12455-0350 - Phone
- (845) 586-4212
- Fax
- (845) 586-3140
- NPI assigned
- Feb 17, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 034205 | NY | Primary |
Addresses
Primary practice location
778 Main Street
Margaretville, NY 12455-0350
Mailing address
778 Main Street
PO Box 350
Margaretville, NY 12455-0350
Phone (845) 586-4212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034205 | Other | NY | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034205 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pill Mill Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1053386714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "778 MAIN STREET",
"address_2": "PO BOX 350",
"city": "MARGARETVILLE",
"state": "NY",
"postal_code": "124550350",
"telephone_number": "845-586-4212",
"fax_number": "845-586-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "778 MAIN STREET",
"city": "MARGARETVILLE",
"state": "NY",
"postal_code": "124550350",
"telephone_number": "845-586-4212",
"fax_number": "845-586-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "FRED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "034205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "034205",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Margaretville, NY
- Margaretville Memorial Hospital
- Margaretville NRS HME
- Margaretville Nursing Home Inc (Mountainside Residential Care Center)
- Christopher Marks, PT, DPT
- Robbie A Martin, LMSW
- Bonnie Sara Mitchell, LCSW
- Randy N Moore, PHARMACIST
- New York Medical Physician Associates PC
- Pill Mill Inc. (Millers Drug Store)
- Prime Care Physicians, P.L.L.C. (MidValley Cardiology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.