Active NPI
Amanda Leigh Miller, PHARMD
- Pharmacist
- Homewood, IL
National Provider Identifier
1962873307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051299097
- Practice address
- 17601 Halsted St
Homewood, IL 60430-2007 - Phone
- (708) 335-5255
- NPI assigned
- Oct 12, 2015
- 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 | 183500000X | 051299097 | IL | Primary |
Addresses
Primary practice location
17601 Halsted St
Homewood, IL 60430-2007
Mailing address
1709 N North Park Ave
Apt 2
Chicago, IL 60614-6374
Phone (913) 638-7899
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 |
|---|---|---|---|
| 051299097 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| Highland Park CVS LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Homewood, IL
- NPI 1154343861
-
- Pharmacy
- Winston Salem, NC
- NPI 1699797258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444608000000",
"number": "1962873307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 N NORTH PARK AVE",
"address_2": "APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606146374",
"telephone_number": "913-638-7899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17601 HALSTED ST",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302007",
"telephone_number": "708-335-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "AMANDA",
"middle_name": "LEIGH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-12",
"last_updated": "2015-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051299097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.