Miranda Hurley, RPH
Individual provider Active NPI Pharmacist · Sparta, NC
NPI 1295082949 · NPPES record last updated Aug 13, 2012
Key facts
- NPI
- 1295082949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 22527 (NC)
- Practice address
- 55 S Main St
Sparta, NC 28675-9643 - Phone
- (336) 372-5599
- Fax
- (336) 372-6190
- NPI assigned
- Aug 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22527 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halsey Drug LLC | Past | Accepting new patients | |
| Halsey Drug LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22527 | NC | Yes |
Addresses
Primary practice location
55 S Main St
Sparta, NC 28675-9643
Mailing address
345 Deerfield Rd
Boone, NC 28607-5009
Phone (828) 355-3365
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22527 | Other | NC | BOARD OF PHARMACY |
Other providers in Sparta, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.