Shane Michael Miller, PHARMD

Pharmacist · Macomb, IL

Individual Active NPI

NPI number 1114201183

Practice location

533 E Grant St
Macomb, IL 61455-3313
Phone
(309) 575-4679
Fax
(309) 836-1910

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NPI record

NPI
1114201183
Entity type
Individual (Type 1)
Enumeration date
October 7, 2011
Last updated
October 17, 2025
Certified
October 17, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051.293200 IL

Mailing address

1 Hickory GRV
Macomb, IL 61455-1108
Phone
(309) 360-1202

About Dr. Miller

Shane Michael Miller, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 533 E Grant St, Macomb, IL 61455-3313. The NPI number 1114201183 was assigned on October 7, 2011 and the record was last updated on October 17, 2025.

Dr. Miller lists a license in the registry: #051.293200 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shane Michael Miller, PHARMD?

The NPI number is 1114201183.

What is the phone number of Dr. Miller?

The phone number listed for the practice location is (309) 575-4679.

Where is Dr. Miller located?

533 E Grant St, Macomb, IL 61455-3313.

What is the taxonomy code for Dr. Miller?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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