IndividualActive
Shane Miller, PHARMD
NPI 1114201183 · Pharmacist · Macomb, IL
Shane Miller, PHARMD is a Pharmacist provider in Macomb, IL (NPI 1114201183).
Provider details
- NPI number
- 1114201183
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 051.293200 (IL)
Practice location
533 E Grant St
Macomb, IL 61455-3313
Phone: (309) 575-4679
Fax: (309) 836-1910
Street-level locationGet directions
Mailing address
1 Hickory Grv
Macomb, IL 61455-1108
Registry dates
- Enumerated
- 2011-10-07
- Last updated
- 2025-10-17
- Certified
- 2025-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.