Landyn Miller, PHARMD, RPH

Key facts

NPI

1932709136

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

RPH031628 (GA)

Practice address

136 E Jarman St
Hazlehurst, GA 31539-6130

Phone

(912) 375-3646

NPI assigned

Oct 27, 2020

Sex

Female

Sole proprietor

Yes

Organizations & group practices 2

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.

• Wal-Mart Stores East LP Community/Retail Pharmacy · Hazlehurst, GA · NPI 1104843515
  NPD (past)
• Wal-Mart Stores East, LP Pharmacy · Apollo Beach, FL · NPI 1437027208
  NPD (past)

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, Registered Pharmacist

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 27, 2020.

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1932709136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "NICHOLLS",
            "state": "GA",
            "postal_code": "315540125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E JARMAN ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396130",
            "telephone_number": "912-375-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LANDYN",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH031628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Hazlehurst, GA · Pharmacist in Georgia