Active NPI
Melvin Robert Miller, RPH
- Pharmacist
- San Antonio, TX
National Provider Identifier
1750445011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25909
- Practice address
- 12500 San Pedro Ave
Suite 600
San Antonio, TX 78216-2858 - Phone
- (877) 277-5900
- Fax
- (210) 499-0672
- NPI assigned
- Dec 21, 2006
- 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 | 25909 | TX | Primary |
Addresses
Primary practice location
12500 San Pedro Ave
Suite 600
San Antonio, TX 78216-2858
Mailing address
1703 N Loop 1604 West
Apt. 4104
San Antonio, TX 78258
Phone (210) 887-8507
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 |
|---|---|---|---|
| 25909 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750445011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 N LOOP 1604 WEST",
"address_2": "APT. 4104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78258",
"telephone_number": "210-887-8507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12500 SAN PEDRO AVE",
"address_2": "SUITE 600",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782162858",
"telephone_number": "877-277-5900",
"fax_number": "210-499-0672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MELVIN",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "25909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
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.