Active NPI
Eric Miller
- Pharmacist
- Hawkinsville, GA
National Provider Identifier
1174119085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH028935
- Practice address
- 342 Industrial Blvd Ste a
Hawkinsville, GA 31036-2103 - Phone
- (615) 540-3112
- NPI assigned
- Dec 15, 2020
- 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 | RPH028935 | GA | Primary |
Addresses
Primary practice location
342 Industrial Blvd Ste a
Hawkinsville, GA 31036-2103
Mailing address
200 Crestview Church Rd Apt 901
Warner Robins, GA 31088-3162
Phone (615) 540-3112
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 |
|---|---|---|---|
| RPH028935 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Ancillary Services, Inc. | Past | Accepting new patients | |
| Community Ancillary Services, Inc. | 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.
-
- Long Term Care Pharmacy
- Acworth, GA
- NPI 1235121617
-
- Long Term Care Pharmacy
- Hawkinsville, GA
- NPI 1255323788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1174119085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CRESTVIEW CHURCH RD APT 901",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310883162",
"telephone_number": "615-540-3112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 INDUSTRIAL BLVD STE A",
"city": "HAWKINSVILLE",
"state": "GA",
"postal_code": "310362103",
"telephone_number": "615-540-3112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ERIC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-15",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH028935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawkinsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.