LUCAS MILLER INC (NPI# 1649707647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649707647 |
| 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 | (585) 638-5499 |
| Practice Fax Number | 5856386149 |
| Mailing Telephone | 5856385499 |
| Mailing Fax Number | 5856386149 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |
| Authorized Official Name | LUCAS MILLER (PRESIDENT) |
| Authorized Official Telephone | 5856385499 |
| Authorized Official Credential | PHARM. D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
033281 | NY | Suppliers |
| Other Name | Type Code |
|---|---|
| Holley Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376588509 | Lucas Miller Inc | Pharmacy | 3 Geddes Street Ext, Holley, NY 14470-1122 | 2006-06-19 |
| 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 |
|---|---|---|---|---|
| 1376588509 | Lucas Miller Inc | Pharmacy | 3 Geddes Street Ext, Holley, NY 14470-1122 | 2006-06-19 |
| 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 | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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] |
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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.