Active NPI
Shannon A Miller, PHARMD
- Pharmacotherapy Pharmacist
- Orlando, FL
National Provider Identifier
1518170281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- PS31738
- Practice address
- 7975 Lake Underhill Rd
Suite 200
Orlando, FL 32822-8202 - Phone
- (407) 303-6574
- Fax
- (407) 303-6839
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PS31738 | FL | Primary |
Addresses
Primary practice location
7975 Lake Underhill Rd
Suite 200
Orlando, FL 32822-8202
Mailing address
729 Glen Eagle Dr
Winter Springs, FL 32708-5915
Phone (407) 303-6830
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS31738 | FL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518170281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "729 GLEN EAGLE DR",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327085915",
"telephone_number": "407-303-6830",
"fax_number": "407-303-6839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7975 LAKE UNDERHILL RD",
"address_2": "SUITE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328228202",
"telephone_number": "407-303-6574",
"fax_number": "407-303-6839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SHANNON",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "FL",
"license": "PS31738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- 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.