Active NPI
Miranda Lane Allen, PHARM D
- Pharmacist
- Portsmouth, VA
National Provider Identifier
1184957433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202210317
- Practice address
- 620 John Paul Jones Cir
Portsmouth, VA 23708-2111 - Phone
- (423) 794-6286
- Fax
- (757) 953-0865
- NPI assigned
- Sep 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 33676 | TN | |
| Pharmacist | 183500000X | 0202210317 | VA | Primary |
| Pharmacist | 183500000X | E-010562 | MS |
Addresses
Primary practice location
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Mailing address
2509 Wingfield Rd
Norfolk, VA 23518-4566
Phone (423) 794-6286
Other practice location 1
1721 Admiral Taussig Blvd
Norfolk, VA 23511
Phone (757) 953-8756
Other names 1
- Dr. Miranda Ashley Lane
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)
- Enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-010562 | MS | MD | Pharmacist |
| 33676 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1184957433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2509 WINGFIELD RD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235184566",
"telephone_number": "423-794-6286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIR",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237082111",
"telephone_number": "423-794-6286",
"fax_number": "757-953-0865"
}
],
"practiceLocations": [
{
"address_1": "1721 Admiral Taussig Blvd",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "23511",
"country_code": "US",
"telephone_number": "757-953-8756",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "MIRANDA",
"middle_name": "LANE",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-17",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "33676",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202210317",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-010562",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIRANDA",
"last_name": "LANE",
"middle_name": "ASHLEY",
"prefix": "DR.",
"credential": "PHARM D",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.