Jennifer Lynn Miller, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051-037876 Issued in IL

Practice address

222 W Court St
Kankakee, IL 60901-3711

Phone

(815) 936-0817

Fax

(815) 936-1014

NPI assigned

Aug 26, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer Lynn Reese Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1972883585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 OLD FARM MIDDLE CT",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609151485",
            "telephone_number": "815-937-4333",
            "fax_number": "815-936-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013711",
            "telephone_number": "815-936-0817",
            "fax_number": "815-936-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-037876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACIST",
            "identifier": "051-037876",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "REESE",
            "middle_name": "LYNN",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michel H. Malek, M.D. PC
• Michel H. Malek, MD SC
• Midstate Anesthesiologists, LTD
• Krish Jay Miglani, MD
• Dana M Miller
• Jonathan B Miller, D.O.
• Kyle L Miller, PHARMD
• Holly Joann Milton
• Misbah Uddin Ahmed MD SC
• John A Mitchell, MD

• Pharmacist in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.