Active NPI
Alfred E Miller, RPH
- Pharmacist
- Portland, TX
National Provider Identifier
1306164181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18863
- Practice address
- 411 San Saba Dr
Portland, TX 78374-1208 - Phone
- (361) 643-3854
- Fax
- (361) 758-8017
- NPI assigned
- May 4, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18863 | TX | Primary |
Addresses
Primary practice location
411 San Saba Dr
Portland, TX 78374-1208
Mailing address
411 San Saba Dr
Portland, TX 78374-1208
Phone (361) 643-3854
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18863 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272931200000",
"number": "1306164181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 SAN SABA DR",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783741208",
"telephone_number": "361-643-3854",
"fax_number": "361-758-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 SAN SABA DR",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783741208",
"telephone_number": "361-643-3854",
"fax_number": "361-758-8017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ALFRED",
"middle_name": "E",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-04",
"last_updated": "2010-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "18863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.