Serra Germaine Miller

Primary specialty

PharmacistTaxonomy code 183500000X

License

061686 Issued in NY

Practice address

4202 W Genesee St
Syracuse, NY 13219-1936

Phone

(315) 487-0326

Fax

(315) 487-0508

NPI assigned

Jul 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• KPH Healthcare Services, Inc.

  • Community/Retail Pharmacy
  • Syracuse, NY
  • NPI 1013024298
  NPD (past)
• KPH Healthcare Services, Inc.

  • Community/Retail Pharmacy
  • Auburn, NY
  • NPI 1245347962
  NPD (past)
• KPH Healthcare Services, Inc.

  • Community/Retail Pharmacy
  • Brattleboro, VT
  • NPI 1407747157
  NPD (past)

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1386096253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132191936",
            "telephone_number": "315-487-0326",
            "fax_number": "315-487-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132191936",
            "telephone_number": "315-487-0326",
            "fax_number": "315-487-0508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8230 Cazenovia Rd",
            "address_purpose": "LOCATION",
            "city": "Manlius",
            "state": "NY",
            "postal_code": "131048726",
            "country_code": "US",
            "telephone_number": "315-682-9153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "187 State St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130211803",
            "country_code": "US",
            "telephone_number": "315-255-0014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SERRA",
        "middle_name": "GERMAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2021-06-02",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "061686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Morgan Miller, MD
• Paulette Maria Miller, ANP MSN ONC
• Ronald Andreas Miller III, MD, PHD
• Rose Olivia Miller, OTR/L
• Ryan Thomas Miller, M.S.
• Shirley A Miller, LPN
• Susan Miller, BS,RN, CDCES
• Zachary Aaron Miller, PA-C
• Ann Marie Millert
• Marni Marie Millet, LCSW

• Pharmacist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.