Active NPI
Sally M Miller, PHARMD
- Pharmacist
- Minneapolis, MN
National Provider Identifier
1609898980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 118587
- Practice address
- 6228 Penn Ave S
Minneapolis, MN 55423-1135 - Phone
- (612) 866-8362
- Fax
- (612) 866-1227
- NPI assigned
- Jul 24, 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 | 118587 | MN | Primary |
Addresses
Primary practice location
6228 Penn Ave S
Minneapolis, MN 55423-1135
Mailing address
20584 Erin CT
Farmington, MN 55024-1472
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 |
|---|---|---|---|
| 118587 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609898980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20584 ERIN CT",
"city": "FARMINGTON",
"state": "MN",
"postal_code": "550241472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6228 PENN AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554231135",
"telephone_number": "612-866-8362",
"fax_number": "612-866-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SALLY",
"middle_name": "M",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "118587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
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.