Active NPI
Vanessa Ann Miller, R.PH
- Pharmacist
- Willoughby, OH
National Provider Identifier
1598779647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03318534
- Practice address
- 5105 Som Center Rd
Willoughby, OH 44094-4203 - Phone
- (440) 953-5711
- Fax
- (440) 975-4606
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- 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 | 03318534 | OH | Primary |
Addresses
Primary practice location
5105 Som Center Rd
Willoughby, OH 44094-4203
Mailing address
10715 Cottage Hill LN
Chardon, OH 44024-9775
Phone (440) 286-5919
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03318534 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598779647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10715 COTTAGE HILL LN",
"city": "CHARDON",
"state": "OH",
"postal_code": "440249775",
"telephone_number": "440-286-5919",
"fax_number": "440-975-4606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5105 SOM CENTER RD",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440944203",
"telephone_number": "440-953-5711",
"fax_number": "440-975-4606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "VANESSA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03318534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willoughby, OH
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.