Active NPI
Jessica Miranda
- Pharmacist
- Sedalia, MO
National Provider Identifier
1285354837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2022032710
- Practice address
- 801 S Limit Ave
Sedalia, MO 65301-5248 - Phone
- (660) 826-7692
- NPI assigned
- Sep 1, 2022
- Last updated
- Sep 1, 2022
- 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 | 2022032710 | MO | Primary |
Addresses
Primary practice location
801 S Limit Ave
Sedalia, MO 65301-5248
Mailing address
801 S Limit Ave
Sedalia, MO 65301-5248
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022032710 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1285354837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S LIMIT AVE",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653015248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S LIMIT AVE",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653015248",
"telephone_number": "660-826-7692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-01",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2022032710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sedalia, MO
- Beverly Miller
- Christa E. Miller, LMSW, LCSW
- Jacqueline Miller, OTR/L
- Morgan Rashel Millsap, COTA
- Candice L Milner, M.S., CCC-SLP
- Missouri CVS Pharmacy LLC (CVS Pharmacy# 10305)
- Missouri Em-I Medical Services PC
- Missouri Valley Sports Medicine and Orthopedics Inc
- Mary Ellen Mittenburg, M.S., CF-SLP
- Mobility First, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.