Active NPI
Stephanie Mirando, PHARM.D
- Pharmacist
- Placerville, CA
National Provider Identifier
1295898021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50240
- Practice address
- 359 Main St
Placerville, CA 95667-5605 - Phone
- (530) 622-3186
- NPI assigned
- Dec 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 50240 | CA | Primary |
Addresses
Primary practice location
359 Main St
Placerville, CA 95667-5605
Mailing address
4000 Meadow Wood Dr
El Dorado Hills, CA 95762-7512
Phone (916) 939-6868
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 |
|---|---|---|---|
| 50240 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295898021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 MEADOW WOOD DR",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957627512",
"telephone_number": "916-939-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "359 MAIN ST",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956675605",
"telephone_number": "530-622-3186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDO",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "50240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.