Active NPI
Khristin Miles
- Pharmacist
- Palm Springs, CA
National Provider Identifier
1003492240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS56189
- Practice address
- 4733 E Palm Canyon Dr
Palm Springs, CA 92264-5219 - Phone
- (760) 324-8269
- NPI assigned
- Mar 18, 2021
- Last updated
- Feb 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 84223 | CA | |
| Pharmacist | 183500000X | PS56189 | FL | Primary |
Addresses
Primary practice location
4733 E Palm Canyon Dr
Palm Springs, CA 92264-5219
Mailing address
225 The Crossroads Blvd # 535
Carmel, CA 93923-8674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS56189 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmaca Integrative Pharmacy, Inc. | Past | Accepting new patients | |
| Pharmaca Integrative Pharmacy, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pharmaca Integrative Pharmacy
- Community/Retail Pharmacy
- Monterey, CA
- NPI 1104003318
-
dba Medly Pharmacy
- Community/Retail Pharmacy
- Redmond, WA
- NPI 1013069822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675555200000",
"number": "1003492240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 THE CROSSROADS BLVD # 535",
"city": "CARMEL",
"state": "CA",
"postal_code": "939238674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4733 E PALM CANYON DR",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922645219",
"telephone_number": "760-324-8269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "KHRISTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-18",
"last_updated": "2023-02-05",
"certification_date": "2023-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "84223",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS56189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
- Michael S Somero MD - a Professional Corporation
- Katy Brianna Michaels, MSW
- Timothy Middick
- William David Mikko, RN
- Milauskas Eye Institute Medical Group II Inc (Milauskas Eye Institute)
- Shirley Reysia Miles
- Milestones Speech and Language Therapy
- Allison Elizabeth Miller, MPT, CWS
- Andrew S Miller, MD
- Jeremy David Miller, MD, MPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.