Robert John Miller, RPH
Individual provider Active NPI Pharmacist · Dallas, NC
NPI 1356612972 · NPPES record last updated Jan 13, 2012
Key facts
- NPI
- 1356612972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14637 (NC)
- Practice address
- 3126 Dallas High Shoals Hwy
Dallas, NC 28034-1306 - Phone
- (704) 922-8911
- NPI assigned
- Jan 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14637 | NC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14637 | NC | Yes |
Addresses
Primary practice location
3126 Dallas High Shoals Hwy
Dallas, NC 28034-1306
Mailing address
100 Mark Twain CT
Mount Holly, NC 28120-1596
Other providers in Dallas, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2012. 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.