Active NPI
Amy Miller
- Pharmacist
- Lula, GA
National Provider Identifier
1417945338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16952
- Practice address
- 6102 Banks St
Lula, GA 30554-2858 - Phone
- (770) 869-3616
- Fax
- (770) 869-9080
- NPI assigned
- Oct 13, 2005
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 16952 | GA | Primary |
Addresses
Primary practice location
6102 Banks St
Lula, GA 30554-2858
Mailing address
6102 Banks St
Lula, GA 30554-2858
Phone (770) 869-3616
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 |
|---|---|---|---|
| 16952 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmaceutical Concepts PC | Current | Accepting new patients | |
| Pharmaceutical Concepts PC | Current | Accepting new patients |
Locations
6102 Banks St
Lula, GA 30554
Phone (770) 869-3616
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lula Pharmacy and Foothills Gift Shop
- Community/Retail Pharmacy
- Lula, GA
- NPI 1942279278
-
dba Lula Pharmacy & Foothills Gift Shop
- Long Term Care Pharmacy
- Lula, GA
- NPI 1972324374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417945338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6102 BANKS ST",
"city": "LULA",
"state": "GA",
"postal_code": "305542858",
"telephone_number": "770-869-3616",
"fax_number": "770-869-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6102 BANKS ST",
"city": "LULA",
"state": "GA",
"postal_code": "305542858",
"telephone_number": "770-869-3616",
"fax_number": "770-869-9080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "16952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lula, GA
- Georgia Mountain Community Services (Avita Community Partners)
- Georgia Mountains Community Services
- Kelly Nicole Giddens, M.ED CCC SLP
- Amber Gilbert, OTRL
- Audra Barr Hawkins, LPC
- North Georgia Upper Cervical Clinics
- Kelsey Grace Ondriezek, LPC
- Pharmaceutical Concepts PC (Lula Pharmacy and Foothills Gift Shop)
- Pharmaceutical Concepts PC (Lula Pharmacy & Foothills Gift Shop)
- Audria Victoria Ratterree
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.