DR. STACY MILES (NPI# 1154763092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154763092 |
| Entity Type | Individual |
| Full Name | DR. STACY MILES |
| Credential | PHARM D |
| Practice Address |
2040 Douglas Ave Brewton AL 36426-1151 |
| Mailing Address |
5254 Pilgrim Trl W Molino FL 32577-9554 |
| Practice Telephone | 2518676838 |
| Practice Fax Number | 2518677565 |
| Mailing Telephone | 8503930861 |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17493 | AL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326152646 | Stacy L Miles | Social Worker | 914 E Broadway, Suite 279, Louisville, KY 40204-1037 | 2006-08-17 |
| Street Address |
2040 DOUGLAS AVE |
| City | BREWTON |
| State | AL |
| Zip Code | 36426-1151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700067238 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2040 Douglas Ave, Brewton, AL 36426-1151 | 2007-11-27 |
| 1487265351 | Nicole Marie Eagle | Pharmacist | 2040 Douglas Ave, Brewton, AL 36426-1151 | 2020-08-13 |
| 1982046827 | Michael Johns | Pharmacist | 2040 Douglas Ave, Brewton, AL 36426-1151 | 2013-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013430214 | Rural Urgent Care LLC | Clinic/Center | 2134 Douglas Ave, Brewton, AL 36426 | 2017-07-19 |
| 1063958536 | Nicole Jones | Counselor | 1321 Mcmillan Avenue, Ste A, Brewton, AL 36426 | 2017-01-09 |
| 1225284185 | Mark Herbert Surles | Chiropractor | 217 Belleville Ave, Brewton, AL 36426 | 2008-08-12 |
| 1497972061 | Reese John Robinson | Dentist | 102 Mason St, Brewton, AL 36426 | 2007-04-18 |
| 1265543797 | James Randall Deatherage | Dentist | 422 Douglas Avenue, Brewton, AL 36426 | 2006-08-31 |
| 1053389403 | Andria P Caldwell | Dentist | 1115 Azalea Place, Brewton, AL 36426 | 2006-03-10 |
| 1013043637 | Shai Tanyette Hall | Dentist | 1503 Mcmillan Ave, Brewton, AL 36426-1132 | 2007-02-26 |
| 1902376999 | Lauren Prance | Nurse Practitioner | 2134 Douglas Ave, Brewton, AL 36426-1155 | 2018-12-03 |
| 1639649601 | Brittni Lynn Klugh | Nurse Practitioner | 2134 Douglas Ave, Brewton, AL 36426-1155 | 2018-12-03 |
| 1023596871 | Melissa Gail Kilcrease | Nurse Practitioner | 2134 Douglas Ave, Brewton, AL 36426-1155 | 2018-08-03 |
| Find all providers in zip 36426 | ||||
| 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 |
|---|---|---|---|---|
| 1306397724 | Alex Miller | Pharmacist | 421 Morris Ln, Brewton, AL 36426-6170 | 2016-10-20 |
| 1538760632 | Mark William Jackson | Pharmacist | 2578 Douglas Ave, Brewton, AL 36426-3552 | 2020-11-04 |
| 1497356984 | Willis Brown | Pharmacist | 2578 Douglas Ave, Brewton, AL 36426-3552 | 2020-11-03 |
| 1487265351 | Nicole Marie Eagle | Pharmacist | 2040 Douglas Ave, Brewton, AL 36426-1151 | 2020-08-13 |
| 1982046827 | Michael Johns | Pharmacist | 2040 Douglas Ave, Brewton, AL 36426-1151 | 2013-07-19 |
| 1952589004 | Phillip Livingston Parker | Pharmacist | 1301 Belleville Ave, Brewton, AL 36426-1306 | 2008-01-31 |
| 1053410977 | Charles Daniel Cottrell | Pharmacist | 1121 Belleville Ave, Brewton, AL 36426-1500 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830934 | Casey Delane Sumner | Pharmacist | 1930 Pleasant Ridge Loop, Sylacauga, AL 35150 | 2020-10-30 |
| 1225637929 | Jessica Lynn Bogucki | Pharmacist | 5324 Bristolwood Cir, Northport, AL 35475-5938 | 2020-10-22 |
| 1770181018 | Patrick R Brown | Pharmacist | 1167 County Road 437 Ste A, Cullman, AL 35055-0203 | 2020-10-09 |
| 1124625835 | Nancy Kickliter | Pharmacist | 404 Beach Island Trce, Dadeville, AL 36853-4615 | 2020-10-06 |
| 1700483484 | Abigail Cooke | Pharmacist | 5636 Vista Bonita Dr N, Mobile, AL 36609-2522 | 2020-10-05 |
| 1750988846 | Margaret Braden | Pharmacist | 561 Sr-69, Hanceville, AL 35077 | 2020-10-02 |
| 1891302857 | Christopher Hamilton Vought | Pharmacist | 3201 Endeavor Ln, Vestavia, AL 35242-8250 | 2020-09-24 |
| 1659988566 | Joshua Manning | Pharmacist | 459 Dauphin St Apt B, Mobile, AL 36602-2413 | 2020-09-24 |
| 1396352456 | Lindsey Hawkins | Pharmacist | 350 County Road 723, Cullman, AL 35055-9040 | 2020-09-23 |
| 1548874266 | Generational Care LLC | Pharmacist | 4748 Regal Dr, Montgomery, AL 36116-4415 | 2020-09-01 |
| 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.