Active NPI
Miranda Lynn Alphonso, PHARMD
- Pharmacist
- Picayune, MS
National Provider Identifier
1275402877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-102194
- Practice address
- 2209 Highway 11 N
Picayune, MS 39466-2065 - Phone
- (601) 799-2087
- NPI assigned
- Nov 3, 2025
- Last updated
- Nov 3, 2025
- Sex
- Female
- Sole proprietor
- No
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 | E-102194 | MS | Primary |
Addresses
Primary practice location
2209 Highway 11 N
Picayune, MS 39466-2065
Mailing address
1724 Mary Dr
Slidell, LA 70458-8018
Phone (985) 768-1829
Other practice location 1
2180 Gause Blvd W
Slidell, LA 70460-4118
Phone (985) 646-1140
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 |
|---|---|---|---|
| E-102194 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1275402877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 MARY DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704588018",
"telephone_number": "985-768-1829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 HIGHWAY 11 N",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394662065",
"telephone_number": "601-799-2087"
}
],
"practiceLocations": [
{
"address_1": "2180 Gause Blvd W",
"address_purpose": "LOCATION",
"city": "Slidell",
"state": "LA",
"postal_code": "704604118",
"country_code": "US",
"telephone_number": "985-646-1140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALPHONSO",
"first_name": "MIRANDA",
"middle_name": "LYNN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-03",
"last_updated": "2025-11-03",
"certification_date": "2025-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-102194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Picayune, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.