Active NPI
Yeismel Miranda-Valdes, PHARM.D.
- Pharmacist
- Bronx, NY
National Provider Identifier
1043460900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27727
- Practice address
- 130 W Kingsbridge Rd # 119
Bronx, NY 10468-3904 - Phone
- (718) 584-9000
- Fax
- (718) 741-4406
- NPI assigned
- Sep 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 27727 | MA | Primary |
Addresses
Primary practice location
130 W Kingsbridge Rd # 119
Bronx, NY 10468-3904
Mailing address
549 Isham St Apt 58
New York, NY 10034-2148
Phone (787) 598-1537
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 |
|---|---|---|---|
| 27727 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222387200000",
"number": "1043460900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "549 ISHAM ST APT 58",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100342148",
"telephone_number": "787-598-1537",
"fax_number": "718-741-4406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W KINGSBRIDGE RD # 119",
"city": "BRONX",
"state": "NY",
"postal_code": "104683904",
"telephone_number": "718-584-9000",
"fax_number": "718-741-4406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA-VALDES",
"first_name": "YEISMEL",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-26",
"last_updated": "2008-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "27727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.