Ryan Jeffrey Miller, PHARM.D.

Individual provider Active NPI Pharmacist · Greenville, NC

NPI 1902448699 · NPPES record last updated Aug 13, 2021

Key facts

NPI
1902448699
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
29466 (NC)
Practice address
3040 Evans St
Greenville, NC 27834-3176
Phone
(252) 355-6450
Fax
(252) 378-3751
NPI assigned
Oct 14, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
29466NCMDPharmacist
066305NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Island Pharmacy, Inc. Past
since Oct 1, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 066305 NY
Pharmacist 183500000X 29466 NC Yes

Addresses

Primary practice location

3040 Evans St
Greenville, NC 27834-3176

Mailing address

165 Country Club Dr
Grand Island, NY 14072-2584
Phone (716) 400-3226

Other providers in Greenville, NC

All providers in Greenville, NC · Pharmacist in North Carolina

Sources for this page

Verify at the official NPI Registry.