Renay Miller, BSC(PHARMACY)

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302032594 Issued in MI

Practice address

1 Wahoo Ave
Groton, CT 06340-2324

Phone

(860) 694-2590

Fax

(860) 694-2590

NPI assigned

Jun 29, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1154528214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 LAKE FOREST DR E",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089680",
            "telephone_number": "734-996-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WAHOO AVE",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063402324",
            "telephone_number": "860-694-2590",
            "fax_number": "860-694-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RENAY",
        "name_prefix": "Mrs.",
        "credential": "BSC(PHARMACY)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "13912",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202012792",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302032594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Bussolotti, LMFT
• Nicholas Mihalecz, IDC
• Eleni Milas, D.M.D.
• Jennette Miller
• Matthew Braden Burns Miller, DDS
• Dawn Mingione, M.S. CCC-SLP
• Matthew John Mitchell, IDC
• Mark William Mittauer, MD
• Edward Thomas Moldenhauer, RPH (MS BPHARM)
• Amy L Moncy, CCC-SLP

• Pharmacist in Groton, CT
• Providers in Groton, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.