Mirella Hernandez-Parbus, RPH

Individual provider Active NPI Pharmacist · Durham, NC

NPI 1134437494 · NPPES record last updated Sep 21, 2010

Key facts

NPI
1134437494
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
14206 (NC)
Practice address
3573 Hillsborough Road
Durham, NC 27705
Phone
(919) 383-0171
Fax
(919) 384-9641
NPI assigned
Sep 21, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
14206NCMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14206 NC Yes
Pharmacist 183500000X 040233 NY

Addresses

Primary practice location

3573 Hillsborough Road
Durham, NC 27705

Mailing address

3573 Hillsborough Rd
Durham, NC 27705
Phone (919) 414-6853

Other identifiers

IdentifierTypeStateIssuer
14206OtherNCNCBOP LICENSE NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 21, 2010.

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1134437494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3573 HILLSBOROUGH RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27705",
            "telephone_number": "919-414-6853",
            "fax_number": "919-383-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3573 HILLSBOROUGH ROAD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27705",
            "telephone_number": "919-383-0171",
            "fax_number": "919-384-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-PARBUS",
        "first_name": "MIRELLA",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "14206",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "040233",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBOP LICENSE NUMBER",
            "identifier": "14206",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

All providers in Durham, NC · Pharmacist in North Carolina

Sources for this page

Verify at the official NPI Registry.