Kevin Dale Miller I

Primary specialty

PharmacistTaxonomy code 183500000X

License

010448 Issued in KY

Practice address

937 Campbellsville Rd
Columbia, KY 42728-2265

Phone

(270) 385-9139

Fax

(270) 385-9083

NPI assigned

Mar 7, 2007

Last updated

Jan 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Greenburg Dicount Pharmacy LLC

  dba Greensburg Pharmacy

  • Community/Retail Pharmacy
  • Greensburg, KY
  • NPI 1871668533
  NPD Authorized official
• Certacare Pharmacy

  • Community/Retail Pharmacy
  • Albany, KY
  • NPI 1467676684
  NPD
• Greensburg Discount Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Greensburg, KY
  • NPI 1609995133
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1780715516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 CAMPBELLSVILLE RD STE 907",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427282265",
            "telephone_number": "270-385-9139",
            "fax_number": "270-385-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 CAMPBELLSVILLE RD",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427282265",
            "telephone_number": "270-385-9139",
            "fax_number": "270-385-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KEVIN",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "010448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany McMinoway, APRN
• Aundria McQueary
• Dustin Levi McQueary, DC
• Leanne Miarka
• Christopher Wayne Miller, M.S., ATC.
• Kolton Dale Miller
• Krystle D Miller, LPCC
• Savannah Morgan
• Tamra Edwana Moss, APRN
• Candace Mullins, M.S., RBT

• Pharmacist in Columbia, KY
• Providers in Columbia, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.