Active NPI
Craig Andrew Miner, R.PH., J.D.
- Pharmacist
- Baltimore, MD
National Provider Identifier
1215980578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20806
- Practice address
- 7500 Security Blvd
Baltimore, MD 21244-1849 - Phone
- (410) 786-7937
- NPI assigned
- May 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20806 | MA | Primary |
| Pharmacist | 183500000X | 45923 | CA |
Addresses
Primary practice location
7500 Security Blvd
Baltimore, MD 21244-1849
Mailing address
5789 Victor Dr
Eldersburg, MD 21784-8920
Phone (410) 552-1033
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
- Juris Doctor, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20806 | MA | MD | General Practice Dentistry |
| 45923 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224979200000",
"number": "1215980578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5789 VICTOR DR",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217848920",
"telephone_number": "410-552-1033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 SECURITY BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212441849",
"telephone_number": "410-786-7937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINER",
"first_name": "CRAIG",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "R.PH., J.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2008-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "20806",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "45923",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.