Individual provider Active NPI

Amanda Grace Miller, PHARMD

  • Pharmacist
  • Milton, PA
National Provider Identifier
1235799248
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP453369 Issued in PA
Practice address
5170 State Route 405
Milton, PA 17847-7510
Phone
(570) 246-4575
Fax
(570) 246-4574
NPI assigned
Jun 20, 2019
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP453369 PA Primary
Ambulatory Care Pharmacist 1835P2201X RP453369 PA

Addresses

Primary practice location

5170 State Route 405
Milton, PA 17847-7510

Mailing address

5170 State Route 405
Milton, PA 17847-7510
Phone (570) 246-4575

Other practice location 1

30 Baldwin Blvd Ste 11
Shamokin Dam, PA 17876-9520
Phone (570) 884-7970

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

State licenses

LicenseStateTypeSpecialty
RP453369PAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1235799248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 STATE ROUTE 405",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178477510",
            "telephone_number": "570-246-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 STATE ROUTE 405",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178477510",
            "telephone_number": "570-246-4575",
            "fax_number": "570-246-4574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Baldwin Blvd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Shamokin Dam",
            "state": "PA",
            "postal_code": "178769520",
            "country_code": "US",
            "telephone_number": "570-884-7970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AMANDA",
        "middle_name": "GRACE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP453369",
            "primary": true
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "PA",
            "license": "RP453369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.