Active NPI
Jeanna Annette Miller, PHARM.D.
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1831166065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP439633
- Practice address
- 3701 Market St
Suite 640- Anticoagulation Center
Philadelphia, PA 19104-5502 - Phone
- (215) 349-8199
- NPI assigned
- Mar 7, 2006
- 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 | RP439633 | PA | Primary |
| Pharmacist | 183500000X | 17541 | MD | |
| Pharmacist | 183500000X | RPH022302 | GA |
Addresses
Primary practice location
3701 Market St
Suite 640- Anticoagulation Center
Philadelphia, PA 19104-5502
Mailing address
303 Vine St
Apt 508
Philadelphia, PA 19106-1142
Phone (215) 349-8199
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 |
|---|---|---|---|
| 17541 | MD | MD | Clinical Social Worker |
| RPH022302 | GA | MD | Pharmacist |
| RP439633 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831166065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 VINE ST",
"address_2": "APT 508",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191061142",
"telephone_number": "215-349-8199",
"fax_number": "215-662-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 MARKET ST",
"address_2": "SUITE 640- ANTICOAGULATION CENTER",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191045502",
"telephone_number": "215-349-8199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JEANNA",
"middle_name": "ANNETTE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP439633",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "17541",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022302",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
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.