Provider Demographics
NPI:1629361282
Name:MILES, JOSEPH ADAM (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ADAM
Last Name:MILES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OAKFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14125-1043
Mailing Address - Country:US
Mailing Address - Phone:585-948-5283
Mailing Address - Fax:585-948-5360
Practice Address - Street 1:40 MAIN ST
Practice Address - Street 2:
Practice Address - City:OAKFIELD
Practice Address - State:NY
Practice Address - Zip Code:14125-1043
Practice Address - Country:US
Practice Address - Phone:585-948-5283
Practice Address - Fax:585-948-5360
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048888183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY048888OtherNYSED