Active NPI
Cheryl Ann Miller
- Pharmacist
- Kitty Hawk, NC
National Provider Identifier
1689966335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20111
- Practice address
- 5547 N Croatan Hwy
Kitty Hawk, NC 27949-4090 - Phone
- (252) 261-8097
- Fax
- (252) 261-0654
- NPI assigned
- May 12, 2011
- Last updated
- May 12, 2011
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20111 | NC | Primary |
Addresses
Primary practice location
5547 N Croatan Hwy
Kitty Hawk, NC 27949-4090
Mailing address
104 Sullivans CT
Powells Point, NC 27966-9621
Phone (252) 491-2476
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20111 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1689966335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 SULLIVANS CT",
"city": "POWELLS POINT",
"state": "NC",
"postal_code": "279669621",
"telephone_number": "252-491-2476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5547 N CROATAN HWY",
"city": "KITTY HAWK",
"state": "NC",
"postal_code": "279494090",
"telephone_number": "252-261-8097",
"fax_number": "252-261-0654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CHERYL",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-12",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "20111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kitty Hawk, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.