RONALD LYNN MILLER (NPI# 1528605292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528605292 |
Entity Type | Individual |
Full Name | RONALD LYNN MILLER |
Practice Address |
1125 W State Blvd Fort Wayne IN 46808-3185 |
Practice Telephone | 2694264487 |
Practice Fax Number | 2604243079 |
Mailing Telephone | 2694264487 |
Mailing Fax Number | 2604243079 |
Enumeration Date | 2019-12-02 |
Last Update Date | 2019-12-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 26015215A | IN | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356892939 | Ronald Lyle Miller | Hearing Instrument Specialist | 106 W 27th St, Scottsbluff, NE 69361-4304 | 2016-10-19 |
1154760551 | Ronald Chad Miller | Physician Assistant | 138 Manor Dr, Beckley, WV 25801-2527 | 2013-06-19 |
1851673081 | Ronald Craig Miller | Pharmacist | 1857 Foxfield Dr., Apt 2, Aurora, IL 60504 | 2011-09-14 |
1396951950 | Ronald John Miller | Counselor | 207 E 19th St, Vancouver, WA 98663-3301 | 2007-05-14 |
1942324991 | Ronald W Miller | Audiologist | 7658 W Boca Raton Rd, Peoria, AZ 85381-4688 | 2007-03-16 |
1710029707 | Ronald Ernest Miller | Dentist | 2290 South Winchester Blvd, Campbell, CA 95008-3429 | 2007-02-13 |
1144393018 | Ronald K. Miller | Dentist | 843 Reed St, American Falls, ID 83211-1336 | 2006-11-16 |
1366521619 | Ronald D. Miller | Counselor | 201 Indian Spring Dr, Silver Spring, MD 20901-3111 | 2006-11-06 |
1750466769 | Ronald G Miller | Podiatrist | 308 Winchester Dr, Savannah, GA 31410-4409 | 2006-10-26 |
1831288786 | Ronald E Miller | Internal Medicine | 4 Culwell Drive, Mt Airy, MD 21771 | 2006-10-11 |
Street Address |
1125 W STATE BLVD |
City | FORT WAYNE |
State | IN |
Zip Code | 46808-3185 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689879074 | Kroger Limited Partnership I | Pharmacy | 1125 W State Blvd, Fort Wayne, IN 46808-3185 | 2007-06-18 |
1073159315 | Donald Henry | Pharmacist | 1125 W State Blvd, Fort Wayne, IN 46808-3185 | 2019-11-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295347102 | Austin Hartzog | Pharmacist | 5110 Value Drive, Fort Wayne, IN 46808 | 2020-08-21 |
1407358377 | Bryan Black | Specialist/Technologist | 3946 Ice Way Fort Wayne, Fort Wayne, IN 46808 | 2018-03-06 |
1326557877 | Kimberly K Kolb | Occupational Therapy Assistant | 1431 Runnion Ave, Fort Wayne, IN 46808 | 2017-09-28 |
1396142063 | Christina Ryder | Specialist/Technologist | 3946 Iceway, Fort Wayne, IN 46808 | 2014-11-25 |
1912090440 | Neighborcare of Indiana, LLC | Pharmacy | 3402 Congressional Pkwy, Ft. Wayne, IN 46808 | 2006-10-02 |
1619945888 | Beth Ann Herrell | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2006-03-14 |
1568458990 | Carolyn Warner Greer | Obstetrics & Gynecology | 1415 Directors Row, Fort Wayne, IN 46808 | 2005-09-21 |
1750851168 | Tyler Cheney | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-28 |
1487123550 | Michaela Mcguire | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-19 |
1861961088 | Olivia Marquardt | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-16 |
Find all providers in zip 46808 |
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 |
---|---|---|---|---|
1295347102 | Austin Hartzog | Pharmacist | 5110 Value Drive, Fort Wayne, IN 46808 | 2020-08-21 |
1528677622 | Leslie Renee Siegel | Pharmacist | 11109 Parkview Plaza Dr # 1, Fort Wayne, IN 46845-1701 | 2020-07-24 |
1962048140 | Andrew Quang Tran | Pharmacist | 6202 Saint Joe Center Rd, Fort Wayne, IN 46835-2506 | 2019-11-21 |
1467005991 | Nicholas Selby | Pharmacist | 6220 Saint Joe Center Rd, Fort Wayne, IN 46835-2506 | 2019-07-23 |
1215427042 | Jerry Eugene Falls | Pharmacist | 9817 Chapmans Blvd, Fort Wayne, IN 46835-9194 | 2018-05-17 |
1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
1063900611 | Juliette Peters | Pharmacist | 1900 Carew St Ste 4, Fort Wayne, IN 46805-4765 | 2018-04-30 |
1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
1790238350 | Karleen Goodwin | Pharmacist | 3964 New Vision Dr, Fort Wayne, IN 46845-1712 | 2016-08-01 |
1699131300 | Brent Alan Losier | Pharmacist | 3537 N Anthony Blvd, Suite A, Fort Wayne, IN 46805-1423 | 2016-01-11 |
Find all providers in FORT WAYNE |
City | FORT WAYNE |
Zip Code | 46808 |
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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.