Active NPI
Amanda Grace Miller, PHARMD
- Pharmacist
- Milton, PA
National Provider Identifier
1235799248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP453369
- 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, 2024
- Sex
- Female
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| RP453369 | PA | MD | Pharmacist |
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
- Lisa Dawn McConnell, RPH
- John W McGettigan, PT
- William McGinley
- Mi Operating LLC (Milton Rehabilitation and Nursing Center)
- Brian T Michaluk, DO
- Milton Ambulance Service Inc
- Milton Area School District
- Milton Fire Department Inc
- Milton Nursing and Rehabilitation Center LP
- Milton Operating, LLC (Milton Rehabilitation and Nursing Center)
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.