Individual provider Active NPI

Mira Aziz

  • Pharmacist
  • La Plata, MD
National Provider Identifier
1316453145
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24645 Issued in MD
Practice address
6260 Crain Hwy
La Plata, MD 20646-4258
Phone
(301) 934-9564
NPI assigned
Dec 15, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 24645 MD Primary

Addresses

Primary practice location

6260 Crain Hwy
La Plata, MD 20646-4258

Mailing address

260 S Reynolds St Apt 809
Alexandria, VA 22304-4433
Phone (571) 290-8572

Other practice location 1

260 S Reynolds St Apt 809
Alexandria, VA 22304-4433
Phone (571) 290-8572

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

LicenseStateTypeSpecialty
24645MDMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316453145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S REYNOLDS ST APT 809",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044433",
            "telephone_number": "571-290-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 CRAIN HWY",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206464258",
            "telephone_number": "301-934-9564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 S Reynolds St Apt 809",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223044433",
            "country_code": "US",
            "telephone_number": "571-290-8572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZIZ",
        "first_name": "MIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "24645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.