DR. SHANE MICHAEL MILLER (NPI# 1114201183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114201183 |
| Entity Type | Individual |
| Full Name | DR. SHANE MICHAEL MILLER |
| Credential | PHARMD |
| Practice Address |
124 N Congress St Rushville IL 62681-1434 |
| Mailing Address |
1 Hickory Grv Macomb IL 61455-1108 |
| Practice Telephone | 2173223333 |
| Mailing Telephone | 3098331929 |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2014-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051.293200 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174041040 | Shane Miller | Technician | 1714 Fortview Rd Ste 106e, Austin, TX 78704-7659 | 2017-08-31 |
| 1326048125 | Shane Miller | Pharmacist | Rr 4 Box 376m, Gate City, VA 24251-9215 | 2005-07-22 |
| 1255670246 | Shane Miller | Rehabilitation Practitioner | 2560 Business Pkwy Ste B, Minden, NV 89423-8961 | 2013-02-11 |
| 1427378199 | Shane Elizabeth Miller | Marriage & Family Therapist | 25 Church St, Shelton, CT 06484-5802 | 2010-06-04 |
| 1487829719 | Shane Michael Miller | Pediatrics | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2008-04-28 |
| 1093867541 | Shane Donald Miller | Chiropractor | 2911 N 14th St, Suite 102, Bismarck, ND 58503-0659 | 2007-01-17 |
| 1144330663 | Shane Miller | Physical Therapy Assistant | 4106 W Lake Mary Blvd Ste 320, Lake Mary, FL 32746-3344 | 2006-08-30 |
| Street Address |
124 N CONGRESS ST |
| City | RUSHVILLE |
| State | IL |
| Zip Code | 62681-1434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437613932 | Garrison Moreland | Pharmacist | 124 N Congress St, Rushville, IL 62681-1486 | 2019-01-29 |
| 1235249756 | Moreland and Devitt, Inc | Pharmacy | 124 N Congress St, Rushville, IL 62681-1434 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366085938 | Brandi Michelle Moore | Technician | 516 North Liberty, Rushville, IL 62681 | 2019-10-25 |
| 1770139784 | Loni Leeann Shouse | Technician | 3 Golf View Acres, Rushview, IL 62681 | 2019-08-15 |
| 1285136911 | Danilo Rivera Kayanan Jr. | Physical Medicine & Rehabilitation | 125 S Morgan, Street, Rushville, IL 62681 | 2018-03-08 |
| 1730525361 | Janelle Renee Blair Smith | Internal Medicine | Rushville Family Practice, 233 S. Congress Street, Rushville, IL 62681 | 2013-05-22 |
| 1780999680 | Meyer Psychological Services | Community/Behavioral Health | 238 S. Congress, Outpatient Clinic #3, Rushville, IL 62681 | 2010-08-16 |
| 1821247719 | Hughes Paganini Lochard | General Practice | Rr #1 Horney Branch, Dept of Human Services of Il, Rushville, IL 62681 | 2008-09-16 |
| 1083733984 | Glen D Pittman | Psychiatry & Neurology | 127 S. Liberty, Rushville, IL 62681 | 2007-03-29 |
| 1689759979 | Abdi Y Tinwalla | Psychiatry & Neurology | Rr1, Box, Horney Road and County Farm Road, Rushville, IL 62681 | 2006-10-26 |
| 1164430898 | Schuyler County Public Health | Public Health or Welfare | 127 S Liberty Street, Rushville, IL 62681 | 2006-08-05 |
| 1659897940 | Jaimee Steele | Psychologist | 750 N Congress St, Rushville, IL 62681-1030 | 2017-08-17 |
| Find all providers in zip 62681 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760676365 | Rick A Bartlett | Pharmacist | Rr 1 Box 51b, Rushville, IL 62681-9726 | 2007-08-28 |
| 1922644574 | Ann Marie Harlan | Pharmacist | 202 S Main St, Rushville, IN 46173-1931 | 2019-11-19 |
| 1669018214 | David E Wenning | Pharmacist | 202 S Main St, Rushville, IN 46173-1931 | 2019-11-19 |
| 1437613932 | Garrison Moreland | Pharmacist | 124 N Congress St, Rushville, IL 62681-1486 | 2019-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1831790674 | Cristopher Guzman | Pharmacist | 7122 40th St Ste 1, Stickney, IL 60402-5491 | 2020-11-06 |
| 1215538046 | Nancy Ann Blue | Pharmacist | 4101 N Vermilion St, Danville, IL 61834-5997 | 2020-11-06 |
| 1386245397 | Lynsey Perera | Pharmacist | 7610 N Orange Prairie Rd, Peoria, IL 61615-9324 | 2020-11-05 |
| 1629679899 | Rubegin F Torrevillas | Pharmacist | 731 Terry Rd, Glendale Heights, IL 60139-3330 | 2020-11-04 |
| 1730780214 | Rhonda Leigh Herrmann | Pharmacist | 13969 Moore Rd, Marion, IL 62959-6835 | 2020-11-03 |
| 1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.