Individual provider Active NPI

Bryna Miller

  • Pharmacist
  • Cincinnati, OH
National Provider Identifier
1104580836
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03221121 Issued in OH
Practice address
11573 Stable Watch CT
Cincinnati, OH 45249-1394
Phone
(513) 479-0201
NPI assigned
Oct 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03221121 OH Primary

Addresses

Primary practice location

11573 Stable Watch CT
Cincinnati, OH 45249-1394

Mailing address

11573 Stable Watch CT
Cincinnati, OH 45249-1394
Phone (513) 479-0201

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Cincinnati

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

LicenseStateTypeSpecialty
03221121OHMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1104580836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11573 STABLE WATCH CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452491394",
            "telephone_number": "513-479-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11573 STABLE WATCH CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452491394",
            "telephone_number": "513-479-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRYNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03221121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cincinnati",
            "affiliation": "N",
            "address_1": "11573 Stable Watch Ct",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452491394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.