Active NPI
Sam Jordan Alice Miller, PHARMD, RPH
- Pharmacist
- Chicago, IL
National Provider Identifier
1598377103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051304354
- Practice address
- 3501 N Halsted St
Chicago, IL 60657-1832 - Phone
- (773) 388-1600
- Fax
- (773) 388-8936
- NPI assigned
- Aug 17, 2020
- Last updated
- Aug 29, 2025
- 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 | 051304354 | IL | Primary |
Addresses
Primary practice location
3501 N Halsted St
Chicago, IL 60657-1832
Mailing address
4025 N Sheridan Rd
Chicago, IL 60613-2010
Phone (872) 269-3657
Other practice location 1
641 W 63rd St
Chicago, IL 60621-2032
Phone (773) 388-1600
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051304354 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1598377103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4025 N SHERIDAN RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132010",
"telephone_number": "872-269-3657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 N HALSTED ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606571832",
"telephone_number": "773-388-1600",
"fax_number": "773-388-8936"
}
],
"practiceLocations": [
{
"address_1": "641 W 63rd St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606212032",
"country_code": "US",
"telephone_number": "773-388-1600",
"fax_number": "773-388-8936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "SAM",
"middle_name": "JORDAN ALICE",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-17",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051304354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.