DR. BENJAMIN BLAKE MILLER (NPI# 1316359920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316359920 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN BLAKE MILLER |
| Credential | PHARM.D. |
| Practice Address |
1000 Blythe Blvd Carolinas Medical Center - Adv Heart Failure Clinic Charlotte NC 28203-5812 |
| Practice Telephone | 7043558816 |
| Mailing Telephone | 7043558816 |
| Enumeration Date | 2014-05-30 |
| Last Update Date | 2014-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
35457PH | SC | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
22658 | NC | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | STATE LICENSE | 22658 | 01 |
| SC | STATE LICENCE | 35457PH | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609337856 | Benjamin Logan Miller | Counselor | 910 Poydras Street, Sugar Land, TX 77498 | 2019-03-29 |
| 1063977189 | Benjamin Lehman Miller | Psychologist | 21403 Chagrin Blvd Ste 104, Beachwood, OH 44122-5322 | 2019-02-02 |
| 1285086876 | Benjamin Miller | Physical Therapist | 126 Dake Ave, Santa Cruz, CA 95062-1502 | 2016-07-07 |
| 1568864767 | Benjamin Miller | Occupational Therapist | 499 E. Weisheimer Rd., Colerain Elementary School, Columbus, OH 43214 | 2014-09-18 |
| 1255356291 | Benjamin J Miller | Nurse Practitioner | 2120 S Reserve St # 133, Missoula, MT 59801-6451 | 2006-07-12 |
| 1548266927 | Benjamin Miller | Anesthesiology | 707 Sw Washington St, Ste 700, Portland, OR 97205-3536 | 2005-06-22 |
| 1649878091 | Benjamin Miller | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401-3954 | 2020-10-16 |
| 1144847047 | Benjamin John Miller | Dentist | 138 Oakland Pkwy, Leesburg, GA 31763-7200 | 2020-06-26 |
| 1144857491 | Benjamin Miller | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1649810680 | Benjamin James Miller | Registered Nurse | 3500 Victoria St, Pittsburgh, PA 15213-2543 | 2020-01-07 |
| Street Address |
1000 BLYTHE BLVD CAROLINAS MEDICAL CENTER - ADV HEART FAILURE CLINIC |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28203-5812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740282946 | Shoaib Lateef | Hospitalist | 1000 Blythe Blvd, Cmc Annex 1st Floor, Charlotte, NC 28203-5812 | 2005-06-01 |
| 1588264527 | Elizabeth Lopez | Registered Nurse | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-10-29 |
| 1164021648 | Daniel Alan Nichols | Registered Nurse | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-10-26 |
| 1487267878 | Anna Molengraft | Physician Assistant | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-08-26 |
| 1699388116 | Cassandra L. Barnes | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-08-25 |
| 1407469927 | Lesley Rummage | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-08-25 |
| 1104437326 | Nicole Clarke | Registered Nurse | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-08-11 |
| 1942819594 | Nigella Siegl | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-07-29 |
| 1316556319 | Carly E Janusek | Physician Assistant | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-07-26 |
| 1932717212 | Lauren May Vanderlip | Registered Nurse | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
| 1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
| 1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
| 1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| Find all providers in zip 28203 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225376619 | Bennett Charles Noell | Pharmacist | 1025 Morehead Medical Dr Ste 600, Charlotte, NC 28204-2969 | 2013-01-21 |
| 1720686686 | Johnny Chia-chi Chang | Pharmacist | 1918 Randolph Rd Ste 400, Charlotte, NC 28207-1196 | 2020-10-13 |
| 1720692288 | Vipul Patel | Pharmacist | 4390 Colwick Rd, Charlotte, NC 28211-2310 | 2020-09-02 |
| 1497378327 | Courtney Lynn Harper | Pharmacist | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-05-27 |
| 1457973117 | Ekaterina Kachur | Pharmacist | 1021 Morehead Medical Dr, Charlotte, NC 28204-2990 | 2020-05-15 |
| 1710535786 | Cynthia Ann Klotz | Pharmacist | 1001 Blythe Blvd, Medical Center Plaza, Suite 601, Charlotte, NC 28203 | 2019-09-03 |
| 1376021303 | Caleb Little | Pharmacist | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2018-08-01 |
| 1407351554 | Robert Byrd | Pharmacist | 2334 South Blvd, Charlotte, NC 28203-2820 | 2018-03-29 |
| 1548762396 | Annie Elizabeth Pellegrino | Pharmacist | 1100 S Tryon St, Charlotte, NC 28203-4239 | 2018-03-07 |
| 1275031833 | Margaret Croom Croom | Pharmacist | 1001 Blythe Blvd, Medical Center Plaza Suite 601, Charlotte, NC 28203 | 2018-01-30 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.