Active NPI
Lecory Miller
- Pharmacist
- Canton, MS
National Provider Identifier
1124745278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-010297
- Practice address
- 2259 Sharon Rd
Canton, MS 39046-8727 - Phone
- (281) 923-5895
- NPI assigned
- Oct 19, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | E-010297 | MS | Primary |
Addresses
Primary practice location
2259 Sharon Rd
Canton, MS 39046-8727
Mailing address
2259 Sharon Rd
Canton, MS 39046-8727
Phone (281) 923-5895
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E-010297 | Other | MS | MISSISSIPPI BOARD OF PHARMACY |
| 40519 | Other | TX | TEXAS BOARD OF PHARMACY |
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 |
|---|---|---|---|
| E-010297 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1124745278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2259 SHARON RD",
"city": "CANTON",
"state": "MS",
"postal_code": "390468727",
"telephone_number": "281-923-5895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2259 SHARON RD",
"city": "CANTON",
"state": "MS",
"postal_code": "390468727",
"telephone_number": "281-923-5895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LECORY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-19",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-010297",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSISSIPPI BOARD OF PHARMACY",
"identifier": "E-010297",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF PHARMACY",
"identifier": "40519",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, MS
- Teresa Louise McKetney, MD
- Yvette Rochelle McLaurin, FNP-C
- Mea Primary Care Plus LLC
- Meet at the Well LLC
- Kiara Diontea Merchant, NP
- Mind Balming Psychiatric and Counseling Services
- Mississippi Anesthesia Group, LLC
- Mississippi Discount Drugs LLC
- Mississippi Discount Drugs LLC
- Mississippi Discount Drugs LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.