Active NPI
Lucas J Miller, PHARM. D
- Pharmacist
- Holley, NY
National Provider Identifier
1578842423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 055862-1
- Practice address
- 3 Geddes Street Ext
Holley, NY 14470-1122 - Phone
- (585) 638-5499
- NPI assigned
- Aug 10, 2011
- Last updated
- Aug 22, 2011
- 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 | 055862-1 | NY | Primary |
Addresses
Primary practice location
3 Geddes Street Ext
Holley, NY 14470-1122
Mailing address
3 Geddes Street Ext
Holley, NY 14470-1122
Phone (585) 638-5499
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055862-1 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cdsrx, LLC | Current | Accepting new patients | |
| Cdsrx, LLC | Current | Accepting new patients |
Locations
3 Geddes Street Ext
Holley, NY 14470
Phone (585) 638-5499
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1578842423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 GEDDES STREET EXT",
"city": "HOLLEY",
"state": "NY",
"postal_code": "144701122",
"telephone_number": "585-638-5499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 GEDDES STREET EXT",
"city": "HOLLEY",
"state": "NY",
"postal_code": "144701122",
"telephone_number": "585-638-5499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LUCAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-10",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "055862-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.