Active NPI
Mira R Miles Samuel
- Pharmacist
- Port Arthur, TX
National Provider Identifier
1184340481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37240
- Practice address
- 8484 Central Mall Dr
Port Arthur, TX 77642-8001 - Phone
- (409) 722-3392
- Fax
- (409) 722-2038
- NPI assigned
- Oct 18, 2022
- 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 | 37240 | TX | Primary |
Addresses
Primary practice location
8484 Central Mall Dr
Port Arthur, TX 77642-8001
Mailing address
14411 Gadshill Cir
Houston, TX 77044-4917
Phone (281) 770-0353
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 |
|---|---|---|---|
| 37240 | TX | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy, Inc. | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1184340481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14411 GADSHILL CIR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770444917",
"telephone_number": "281-770-0353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8484 CENTRAL MALL DR",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776428001",
"telephone_number": "409-722-3392",
"fax_number": "409-722-2038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES SAMUEL",
"first_name": "MIRA",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-18",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "37240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Arthur, TX
- Michael C Percenti, DPM PLLC
- Keely Nicole Michalk, PHARM D, R.PH.
- Mid County Diagnostics Inc
- Mid County Medical Group PA
- Midcounty Family Physicians Associates, LLP
- Millennium Neonatolgy PLLC
- Millennium Neonatology of Port Arthur PLLC
- Millennium OB GYN of Port Arthur PLLC
- Barry Ray Miller, M.A.
- Sharon Elaine Miller, RN, ACNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.