Active NPI
Sahm Q Miller, CPHT
- Pharmacy Technician
- Centerville, OH
National Provider Identifier
1063102630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 10013385
- Practice address
- 898 S Main St
Centerville, OH 45458-3439 - Phone
- (937) 433-4909
- Fax
- (937) 434-9972
- NPI assigned
- May 8, 2023
- Last updated
- May 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 10013385 | OH | Primary |
Addresses
Primary practice location
898 S Main St
Centerville, OH 45458-3439
Mailing address
881 Revere Village CT Apt a
Dayton, OH 45458-3415
Phone (440) 488-1057
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 |
|---|---|---|---|
| 10013385 | OH | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Ohio Inc | Past | Accepting new patients |
Organizations & group practices 1
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 Rite Aid Pharmacy 00119
- Community/Retail Pharmacy
- Centerville, OH
- NPI 1518989615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1063102630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "881 REVERE VILLAGE CT APT A",
"city": "DAYTON",
"state": "OH",
"postal_code": "454583415",
"telephone_number": "440-488-1057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "898 S MAIN ST",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454583439",
"telephone_number": "937-433-4909",
"fax_number": "937-434-9972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SAHM",
"middle_name": "Q",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-08",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "OH",
"license": "10013385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.