Active NPI
Adriene Nicole Miller, PHARMD
- Pharmacist
- Erwin, TN
National Provider Identifier
1669837860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 39287
- Practice address
- 110 N Industrial Dr
Erwin, TN 37650-4073 - Phone
- (423) 220-1051
- NPI assigned
- Dec 15, 2015
- Last updated
- Dec 27, 2020
- 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 | 39287 | TN | Primary |
Addresses
Primary practice location
110 N Industrial Dr
Erwin, TN 37650-4073
Mailing address
110 N Industrial Dr
Erwin, TN 37650-4073
Phone (423) 220-1051
Other practice location 1
3019 Peoples St
Johnson City, TN 37604-1442
Phone (423) 854-0990
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 |
|---|---|---|---|
| 39287 | TN | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K -VA -T Food Stores Inc | Current | Accepting new patients | |
| K VA T Food Stores Inc | Past | Accepting new patients |
Locations
110 N Industrial Dr
Erwin, TN 37650
Phone (423) 220-1051
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Food City Pharmacy #625
- Community/Retail Pharmacy
- Erwin, TN
- NPI 1235792953
-
dba Food City Pharmacy #507
- Community/Retail Pharmacy
- Huntsville, AL
- NPI 1245038512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609027200000",
"number": "1669837860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 N INDUSTRIAL DR",
"city": "ERWIN",
"state": "TN",
"postal_code": "376504073",
"telephone_number": "423-220-1051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N INDUSTRIAL DR",
"city": "ERWIN",
"state": "TN",
"postal_code": "376504073",
"telephone_number": "423-220-1051"
}
],
"practiceLocations": [
{
"address_1": "3019 Peoples St",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376041442",
"country_code": "US",
"telephone_number": "423-854-0990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "ADRIENE",
"middle_name": "NICOLE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-15",
"last_updated": "2020-12-27",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "39287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erwin, TN
- Markland Behavioral Services
- Shawnee Mae Kay Markland, BCBA
- Catherine Mattix, L.M.T.
- Medicone Medical Response of Tennessee Inc
- Frank Anthony Merendino III, DDS
- Charles G Miller II, DO
- Gordon Wyche Moughon, MD
- Mountain States Health Alliance (Unicoi County Hospital)
- Mountain States Health Alliance (Center for Sleep Disorders at UCMH)
- Mountain States Health Alliance (Unicoi County Home Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.