Active NPI
Jennifer Michelle Miles, PHARMD
- Oncology Pharmacist
- Johnson City, TN
National Provider Identifier
1114765252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 034971
- Practice address
- 1 Professional Park Dr Ste 21
Johnson City, TN 37604-6909 - Phone
- (423) 232-6930
- NPI assigned
- Jul 15, 2024
- 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 |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 034971 | TN | Primary |
Addresses
Primary practice location
1 Professional Park Dr Ste 21
Johnson City, TN 37604-6909
Mailing address
2557 Holly Creek Rd
Greeneville, TN 37745-4575
Phone (423) 470-6147
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034971 | TN | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1114765252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2557 HOLLY CREEK RD",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377454575",
"telephone_number": "423-470-6147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PROFESSIONAL PARK DR STE 21",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046909",
"telephone_number": "423-232-6930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "JENNIFER",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-15",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "TN",
"license": "034971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.