Active NPI
Jeremy Miller, RPH, PHARMD
- Pharmacist
- Manahawkin, NJ
National Provider Identifier
1124624564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02753400
- Practice address
- Shoprite Pharmacy Department
297 Route 72 West
Manahawkin, NJ 08050 - Phone
- (609) 597-0092
- NPI assigned
- Dec 10, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02753400 | NJ | Primary |
Addresses
Primary practice location
Shoprite Pharmacy Department
297 Route 72 West
Manahawkin, NJ 08050
Mailing address
Shoprite Pharmacy Department
297 Route 72 West
Manahawkin, NJ 08050
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 |
|---|---|---|---|
| 28RI02753400 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1124624564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SHOPRITE PHARMACY DEPARTMENT",
"address_2": "297 ROUTE 72 WEST",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "08050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SHOPRITE PHARMACY DEPARTMENT",
"address_2": "297 ROUTE 72 WEST",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "08050",
"telephone_number": "609-597-0092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JEREMY",
"credential": "RPH, PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02753400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manahawkin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.