Active NPI
Larissa Kay Miller, PHARMD
- Pharmacist
- Le Mars, IA
National Provider Identifier
1124610522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22929
- Practice address
- 1111 Holton Dr
Le Mars, IA 51031-2884 - Phone
- (712) 546-5150
- NPI assigned
- Feb 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22929 | IA | Primary |
Addresses
Primary practice location
1111 Holton Dr
Le Mars, IA 51031-2884
Mailing address
603 Zuider Zee Dr SE
Orange City, IA 51041-1819
Phone (605) 690-5565
Other practice location 1
1000 Lincoln Cir SE
Orange City, IA 51041-1836
Phone (712) 737-5347
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 |
|---|---|---|---|
| 22929 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612656000000",
"number": "1124610522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 ZUIDER ZEE DR SE",
"city": "ORANGE CITY",
"state": "IA",
"postal_code": "510411819",
"telephone_number": "605-690-5565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 HOLTON DR",
"city": "LE MARS",
"state": "IA",
"postal_code": "510312884",
"telephone_number": "712-546-5150"
}
],
"practiceLocations": [
{
"address_1": "1000 Lincoln Cir SE",
"address_purpose": "LOCATION",
"city": "Orange City",
"state": "IA",
"postal_code": "510411836",
"country_code": "US",
"telephone_number": "712-737-5347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "LARISSA",
"middle_name": "KAY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-07",
"last_updated": "2021-02-07",
"certification_date": "2021-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "22929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Le Mars, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.