Active NPI
Annabeth Miller
- Pharmacist
- Midland, TX
National Provider Identifier
1174800544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24732
- Practice address
- 4517 N Midland Dr
Midland, TX 79707-3325 - Phone
- (402) 880-1528
- NPI assigned
- Nov 13, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9558 | NE | |
| Pharmacist | 183500000X | 24732 | TX | Primary |
| Pharmacist | 183500000X | PHA0019598 | CO |
Addresses
Primary practice location
4517 N Midland Dr
Midland, TX 79707-3325
Mailing address
3310 Wrigley
Midland, TX 79707-5026
Phone (402) 880-1528
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24732 | TX | MD | Pediatric Dentist |
| PHA0019598 | CO | MD | Pharmacist |
| 9558 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1174800544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3310 WRIGLEY",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797075026",
"telephone_number": "402-880-1528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4517 N MIDLAND DR",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797073325",
"telephone_number": "402-880-1528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ANNABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-13",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "9558",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "24732",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA0019598",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.