Active NPI
Lucy M Miller
- Pharmacist
- Kalamazoo, MI
National Provider Identifier
1619267473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302411008
- Practice address
- 418 W Kalamazoo Ave
Kalamazoo, MI 49007-3334 - Phone
- (269) 553-6000
- Fax
- (269) 492-9362
- NPI assigned
- Apr 13, 2011
- Sex
- Female
- 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 | 5302411008 | MI | Primary |
Addresses
Primary practice location
418 W Kalamazoo Ave
Kalamazoo, MI 49007-3334
Mailing address
418 W Kalamazoo Ave
Kalamazoo, MI 49007-3334
Phone (269) 553-6000
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 |
|---|---|---|---|
| 5302411008 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1619267473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 W KALAMAZOO AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490073334",
"telephone_number": "269-553-6000",
"fax_number": "269-492-9362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 W KALAMAZOO AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490073334",
"telephone_number": "269-553-6000",
"fax_number": "269-492-9362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LUCY",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-13",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302411008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.