LUCAS MILLER INC (NPI# 1376588509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376588509 |
| Entity Type | Organization |
| Organization Name | LUCAS MILLER INC |
| Other Organization Name | HOLLEY PHARMACY |
| Practice Address |
3 Geddes Street Ext Holley NY 14470-1122 |
| Practice Telephone | 5856385499 |
| Practice Fax Number | 5856386149 |
| Mailing Telephone | 5856385499 |
| Mailing Fax Number | 5856386149 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2016-08-10 |
| Authorized Official Name | LUCAS MILLER (OWNER PRESIDENT PIC) |
| Authorized Official Telephone | 5856385499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
033281 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2149007 | 01 |
| Other Name | Type Code |
|---|---|
| Holley Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649707647 | Lucas Miller Inc | Pharmacy | 3 Geddes Street Ext, Holley, NY 14470-1122 | 2017-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LUCAS MILLER INC. | 45 Exchange Blvd, Rochester, Ny 14614 |
| Street Address |
3 GEDDES STREET EXT |
| City | HOLLEY |
| State | NY |
| Zip Code | 14470-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649707647 | Lucas Miller Inc | Pharmacy | 3 Geddes Street Ext, Holley, NY 14470-1122 | 2017-05-22 |
| 1578842423 | Lucas J Miller | Pharmacist | 3 Geddes Street Ext, Holley, NY 14470-1122 | 2011-08-10 |
| 1558683854 | Bruce J. Kowiak | Pharmacist | 3 Geddes Street Ext, Holley, NY 14470-1122 | 2010-02-28 |
| 1487715835 | Sabir Khan | Pharmacist | 3 Geddes Street Ext, Holley, NY 14470-1122 | 2006-12-12 |
| 1194886473 | John M Carl | Pharmacist | 3 Geddes Street Ext, Holley, NY 14470-1122 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427509447 | Rose Porter | Licensed Practical Nurse | 53 North Main Street, Holley, NY 14470 | 2016-10-14 |
| 1942550926 | Kristina M Rich | Speech-Language Pathologist | 3800 N. Main St., Holley, NY 14470 | 2012-09-17 |
| 1295984862 | Allen Nersinger | Counselor | 32 Albion St., Holley, NY 14470 | 2008-09-18 |
| 1619339884 | Robin Vieira | Registered Nurse | 11 Morgan St, Holley, NY 14470-1020 | 2016-03-25 |
| 1942391503 | Shana M Flow | Registered Nurse | 17 Park Pl, Holley, NY 14470-1022 | 2006-09-27 |
| 1386906980 | Amanda Lee Golisano | Licensed Practical Nurse | 168 Woodside Ct, Holley, NY 14470-1050 | 2012-06-11 |
| 1154676716 | Bradley Justin Brooks | Registered Nurse | 34 Orchard St, Holley, NY 14470-1060 | 2012-07-19 |
| 1972570729 | Holley Volunteer Ambulance Inc | Ambulance | 7 Thomas St, Holley, NY 14470-1111 | 2006-03-01 |
| 1164703179 | Christine E Penna | Licensed Practical Nurse | 15 West Ave, Holley, NY 14470-1115 | 2011-09-03 |
| 1669514824 | Concetta Maria Cutaia | Licensed Practical Nurse | 7 West Ave, Holley, NY 14470-1115 | 2007-02-13 |
| Find all providers in zip 14470 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396388 | Sharx Corp | Pharmacy | 4301 48th Ave, Woodside, NY 11377-6241 | 2020-11-03 |
| 1841890878 | Corner Pharmacy Myrtle | Pharmacy | 680 Myrtle Ave, Brooklyn, NY 11205-4119 | 2020-10-28 |
| 1124627302 | Elite Pharmacy Inc. | Pharmacy | 614a Grand St, Brooklyn, NY 11211-4802 | 2020-10-20 |
| 1073111951 | Pharmacy On Bay Street Inc. | Pharmacy | 1209 Bay St, Staten Island, NY 10305-3121 | 2020-10-13 |
| 1760080741 | Carol Pharmacy LLC | Pharmacy | 4230 Broadway, New York, NY 10033-3746 | 2020-10-13 |
| 1528666443 | Mvp Pharmacy Inc | Pharmacy | 920 Wheeler Rd Ste 920, Hauppauge, NY 11788-2900 | 2020-10-13 |
| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LUCAS MILLER INC.
| 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.