Individual provider Active NPI

Hannah Denning Miriello, PHARMD

  • Pharmacist
  • Dunn, NC
National Provider Identifier
1750699872
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21046 Issued in NC
Practice address
609 E Cumberland St
Dunn, NC 28334-5021
Phone
(910) 892-2114
Fax
(910) 892-2114
NPI assigned
Sep 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21046 NC Primary

Addresses

Primary practice location

609 E Cumberland St
Dunn, NC 28334-5021

Mailing address

PO Box 245
Dunn, NC 28335-0245
Phone (910) 892-2114

Other identifiers 3

IdentifierTypeStateIssuer
0473810001OtherNCMEDICARE ID-TYPE UNSPECIFIED
1356448294OtherNCSTORE NPI
0435081MedicaidNC

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

LicenseStateTypeSpecialty
21046NCMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1750699872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283350245",
            "telephone_number": "910-892-2114",
            "fax_number": "910-892-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E CUMBERLAND ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345021",
            "telephone_number": "910-892-2114",
            "fax_number": "910-892-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRIELLO",
        "first_name": "HANNAH",
        "middle_name": "DENNING",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "21046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "0473810001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STORE NPI",
            "identifier": "1356448294",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0435081",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.