Active NPI
Angela Ann Miller, RPH
- Pharmacotherapy Pharmacist
- Lufkin, TX
National Provider Identifier
1780680629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 26019205A
- Practice address
- 200 Gaslight Blvd
Lufkin, TX 75904-3166 - Phone
- (936) 639-2346
- Fax
- (936) 639-2322
- NPI assigned
- Jun 24, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 60982 | TX | |
| Pharmacist | 183500000X | 26019205A | IN | |
| Pharmacotherapy Pharmacist | 1835P1200X | 26019205A | IN | Primary |
Addresses
Primary practice location
200 Gaslight Blvd
Lufkin, TX 75904-3166
Mailing address
1155 County Road 2011
Nacogdoches, TX 75965-0461
Phone (317) 418-4162
Other names 1
- Mrs. Angela Brattain Hacker
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 |
|---|---|---|---|
| 60982 | TX | MD | Pharmacist |
| 26019205A | IN | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1780680629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 COUNTY ROAD 2011",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759650461",
"telephone_number": "317-418-4162",
"fax_number": "317-346-1456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GASLIGHT BLVD",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043166",
"telephone_number": "936-639-2346",
"fax_number": "936-639-2322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ANGELA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-24",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "60982",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26019205A",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IN",
"license": "26019205A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "HACKER",
"middle_name": "BRATTAIN",
"prefix": "MRS.",
"credential": "RPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.