Active NPI
Carrie Lynn Miller, RPH
- Pharmacist
- Elgin, SC
National Provider Identifier
1073822615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8766
- Practice address
- 1107 Ross St
Elgin, SC 29045 - Phone
- (803) 438-5735
- Fax
- (803) 435-4657
- NPI assigned
- Sep 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20032 | NC | |
| Pharmacist | 183500000X | 0202007813 | VA | |
| Pharmacist | 183500000X | 8766 | SC | Primary |
Addresses
Primary practice location
1107 Ross St
Elgin, SC 29045
Mailing address
1830 Porter Cross Rd
Lugoff, SC 29078-9658
Phone (803) 319-7288
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20032 | NC | MD | Pharmacist |
| 8766 | SC | MD | Pharmacist |
| 0202007813 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Camden, SC
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- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1073822615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 PORTER CROSS RD",
"city": "LUGOFF",
"state": "SC",
"postal_code": "290789658",
"telephone_number": "803-319-7288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 ROSS ST",
"city": "ELGIN",
"state": "SC",
"postal_code": "29045",
"telephone_number": "803-438-5735",
"fax_number": "803-435-4657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CARRIE",
"middle_name": "LYNN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-30",
"last_updated": "2023-06-28",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "20032",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202007813",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "8766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.