Active NPI
Marysue Miller, RPH, PHARMD
- Pharmacotherapy Pharmacist
- Wexford, PA
National Provider Identifier
1114913712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- RP035516L
- Practice address
- 103 Bradford Rd
Suite 100
Wexford, PA 15090-6910 - Phone
- (724) 940-2490
- NPI assigned
- Sep 20, 2005
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | RP035516L | PA | Primary |
Addresses
Primary practice location
103 Bradford Rd
Suite 100
Wexford, PA 15090-6910
Mailing address
14415 Roberta Dr
North Huntingdon, PA 15642-1665
Phone (412) 751-4624
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP035516L | PA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114913712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14415 ROBERTA DR",
"city": "NORTH HUNTINGDON",
"state": "PA",
"postal_code": "156421665",
"telephone_number": "412-751-4624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 BRADFORD RD",
"address_2": "SUITE 100",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150906910",
"telephone_number": "724-940-2490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MARYSUE",
"name_prefix": "Dr.",
"credential": "RPH, PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "PA",
"license": "RP035516L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.