Individual provider Active NPI

Annabeth Miller

  • Pharmacist
  • Midland, TX
National Provider Identifier
1174800544
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24732 Issued in TX
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

Updated by the provider on Oct 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
24732TXMDPediatric Dentist
PHA0019598COMDPharmacist
9558NEMDPharmacist

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.

Verify at the official NPI Registry.