Active NPI
Miles Scott Vonlogan, PHARMACIST
- Pharmacist
- Eden, NC
National Provider Identifier
1689818965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18665
- Practice address
- 109 S Van Buren Rd
Eden, NC 27288-5026 - Phone
- (336) 623-9026
- NPI assigned
- Apr 30, 2009
- 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 | 18665 | NC | Primary |
Addresses
Primary practice location
109 S Van Buren Rd
Eden, NC 27288-5026
Mailing address
109 S Van Buren Rd
Eden, NC 27288-5026
Phone (336) 623-9026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18665 | Other | NC | PHARMACIST LICENSE NUMBER |
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 |
|---|---|---|---|
| 18665 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241049600000",
"number": "1689818965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 S VAN BUREN RD",
"city": "EDEN",
"state": "NC",
"postal_code": "272885026",
"telephone_number": "336-623-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 S VAN BUREN RD",
"city": "EDEN",
"state": "NC",
"postal_code": "272885026",
"telephone_number": "336-623-9026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONLOGAN",
"first_name": "MILES",
"middle_name": "SCOTT",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-30",
"last_updated": "2009-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "18665",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "18665",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.