Individual provider Active NPI

Susan Christine Miller, RPH

  • Pharmacist
  • Denison, TX
National Provider Identifier
1396265286
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
32687 Issued in TX
Practice address
2300 W Morton St Ste 121
Denison, TX 75020-1600
Phone
(903) 463-6979
Fax
(903) 463-6976
NPI assigned
Jun 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 32687 TX Primary

Addresses

Primary practice location

2300 W Morton St Ste 121
Denison, TX 75020-1600

Mailing address

2300 W Morton St Ste 121
Denison, TX 75020-1600
Phone (903) 463-6979

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

LicenseStateTypeSpecialty
32687TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Smpe, Inc CurrentSince Jul 24, 2022 Accepting new patients
Smpe Inc CurrentSince Jul 24, 2022 Accepting new patients

Locations

2300 W Morton St
Ste 121
Denison, TX 75020
Phone (903) 463-6979

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396265286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W MORTON ST STE 121",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201600",
            "telephone_number": "903-463-6979",
            "fax_number": "903-463-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W MORTON ST STE 121",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201600",
            "telephone_number": "903-463-6979",
            "fax_number": "903-463-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SUSAN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "32687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.