Active NPI
Michael Bruce Miller
- Pharmacist
- Blue Ridge, GA
National Provider Identifier
1346787975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 0011845
- Practice address
- 5679 Appalachian Hwy
Blue Ridge, GA 30513-4202 - Phone
- (706) 632-3654
- NPI assigned
- Jan 20, 2017
- Sex
- Male
- Sole proprietor
- No
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 | RPH 0011845 | GA | Primary |
Addresses
Primary practice location
5679 Appalachian Hwy
Blue Ridge, GA 30513-4202
Mailing address
5679 Appalachian Hwy
Blue Ridge, GA 30513-4202
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 |
|---|---|---|---|
| RPH 0011845 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ingles Markets Inc | Past | Accepting new patients | |
| Ingles Markets 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.
-
- Community/Retail Pharmacy
- Acworth, GA
- NPI 1023872108
-
- Community/Retail Pharmacy
- Blue Ridge, GA
- NPI 1528265808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1346787975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5679 APPALACHIAN HWY",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305134202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5679 APPALACHIAN HWY",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305134202",
"telephone_number": "706-632-3654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MICHAEL",
"middle_name": "BRUCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-20",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH 0011845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Ridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.