Logan Anthony Miner, PHARMD
Individual provider Active NPI Pharmacist · Baldwin City, KS
NPI 1306670146 · NPPES record last updated Aug 26, 2024
Key facts
- NPI
- 1306670146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1-102897 (KS)
- Practice address
- 400 Ames St
Baldwin City, KS 66006-3099 - Phone
- (785) 594-0340
- Fax
- (785) 594-0343
- NPI assigned
- Aug 26, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-102897 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn Pharmacy, Inc. | Past |
Accepting new patients | |
| Auburn Pharmacy Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-102897 | KS | Yes |
Addresses
Primary practice location
400 Ames St
Baldwin City, KS 66006-3099
Mailing address
400 Ames St
Baldwin City, KS 66006-3099
Phone (785) 594-0340
Other providers in Baldwin City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.