Ronald Joe Miles, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051029360 Issued in IL

Practice address

518 S Main St
Lewistown, IL 61542-1565

Phone

(309) 547-3731

Fax

(309) 547-2040

NPI assigned

Jan 22, 2021

Last updated

Jan 22, 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

Credentials

Registered Pharmacist

State licenses

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.

• Main Street Pharmacy Inc

  • Community/Retail Pharmacy
  • Lewistown, IL
  • NPI 1417092099
  Authorized official Same address or phone

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1871183921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 S MAIN ST",
            "city": "LEWISTOWN",
            "state": "IL",
            "postal_code": "615421565",
            "telephone_number": "309-547-3731",
            "fax_number": "309-547-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 S MAIN ST",
            "city": "LEWISTOWN",
            "state": "IL",
            "postal_code": "615421565",
            "telephone_number": "309-547-3731",
            "fax_number": "309-547-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "RONALD",
        "middle_name": "JOE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051029360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Wayne Fawcett, PA-C
• Graham Hospital Association (Graham Medical Group Lewistown)
• Lewistown Cusd 97
• Main Street Pharmacy Inc
• Main Street Pharmacy Inc
• Amber L Nelson, SSP
• Niemann Foods Inc (County Market Pharmacy 458)
• Phyllis Nugent, RN
• Prairie View Care Center of Lewistown
• Prairie View Care Center of Lewistown

• Pharmacist in Lewistown, IL
• Providers in Lewistown, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.