Active NPI
Kathleen Chandler Miller, R.PH.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Davenport, IA
National Provider Identifier
1912292863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 14366
- Practice address
- 129 W Locust St
Davenport, IA 52803-2803 - Phone
- (563) 324-1641
- NPI assigned
- Jun 17, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 14366 | IA | Primary |
Addresses
Primary practice location
129 W Locust St
Davenport, IA 52803-2803
Mailing address
2835 West Court
Bettendorf, IA 52722
Phone (563) 332-7468
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 |
|---|---|---|---|
| 14366 | IA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308268800000",
"number": "1912292863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 WEST COURT",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "52722",
"telephone_number": "563-332-7468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 W LOCUST ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032803",
"telephone_number": "563-324-1641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KATHLEEN",
"middle_name": "CHANDLER",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-17",
"last_updated": "2011-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "IA",
"license": "14366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.