Tiffany Renae Miller, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

1-14227 Issued in KS

Practice address

601 W 11TH St
Coffeyville, KS 67337-5025

Phone

(620) 251-1620

Fax

(620) 251-4730

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

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.

• Prescription Shop Inc

  • Long Term Care Pharmacy
  • Coffeyville, KS
  • NPI 1629572730
  NPD (past)
• Prescription Shop, Inc

  • Community/Retail Pharmacy
  • Coffeyville, KS
  • NPI 1619966272
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477571693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 SW CREST DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666043552",
            "telephone_number": "785-273-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 11TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673375025",
            "telephone_number": "620-251-1620",
            "fax_number": "620-251-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TIFFANY",
        "middle_name": "RENAE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-14227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medicalodges, Inc.
• Shaun Lanceine Meek, LCMFT
• Diane Mendoza
• Kerry Louise Mersberg, DC CPED
• Joseph Maylen Miller, MSW DCSW LSCSW
• ML-Op Coffeyville LLC
• Lydia Morgan
• Dana E Morton, ARNP
• Julia Dawn Moses, CRNA
• Dorothy Murdock, FNP-C

• All providers in Coffeyville, KS
• Pharmacist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.