NPIMap

Individual provider Active NPI

Mikaela Miner, PHARMD

  • Pharmacist
  • Morgantown, WV
National Provider Identifier
1285449538
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0014322 Issued in WV
Practice address
350 Patteson Dr
Morgantown, WV 26505-3232
Phone
(304) 599-8316
NPI assigned
Feb 12, 2025
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0014322 WV Primary

Addresses

Primary practice location

350 Patteson Dr
Morgantown, WV 26505-3232

Mailing address

350 Patteson Dr
Morgantown, WV 26505-3232
Phone (304) 599-8316

Other practice location 1

930 Division St
Parkersburg, WV 26101-6051
Phone (304) 428-8534

Other practice location 2

80 Skyline Plaza Dr
Buckhannon, WV 26201-3902
Phone (304) 472-0751

Other practice location 3

2007 7th St
Parkersburg, WV 26101-3801
Phone (304) 428-4705

Other practice location 4

102 Emily Dr
Clarksburg, WV 26301-5501
Phone (304) 623-1482

Other practice location 5

450 11th St
Elkins, WV 26241-3765
Phone (304) 636-6891

Other practice location 6

500 Suncrest Town Centre Dr
Morgantown, WV 26505-1820
Phone (304) 285-6781

Other practice location 7

1851 Earl L Core Rd
Morgantown, WV 26505-0315
Phone (304) 296-0657

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
RP0014322WVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Limited Partnership I PastSince Feb 23, 2025 Accepting new patients
Kroger Limited Partnership I Past Accepting new patients
Kroger Limited Partnership I Past Accepting new patients
Kroger Limited Partnership I Past Accepting new patients
Kroger Limited Partnership I PastSince Feb 23, 2025 Accepting new patients
Kroger Limited Partnership I Past Accepting new patients
Kroger Limited Partnership I Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1285449538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PATTESON DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053232",
            "telephone_number": "304-599-8316",
            "fax_number": "304-241-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PATTESON DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053232",
            "telephone_number": "304-599-8316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 Division St",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261016051",
            "country_code": "US",
            "telephone_number": "304-428-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Skyline Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Buckhannon",
            "state": "WV",
            "postal_code": "262013902",
            "country_code": "US",
            "telephone_number": "304-472-0751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2007 7th St",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261013801",
            "country_code": "US",
            "telephone_number": "304-428-4705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Emily Dr",
            "address_purpose": "LOCATION",
            "city": "Clarksburg",
            "state": "WV",
            "postal_code": "263015501",
            "country_code": "US",
            "telephone_number": "304-623-1482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 11th St",
            "address_purpose": "LOCATION",
            "city": "Elkins",
            "state": "WV",
            "postal_code": "262413765",
            "country_code": "US",
            "telephone_number": "304-636-6891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Suncrest Town Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265051820",
            "country_code": "US",
            "telephone_number": "304-285-6781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1851 Earl L Core Rd",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265050315",
            "country_code": "US",
            "telephone_number": "304-296-0657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINER",
        "first_name": "MIKAELA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0014322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.