Individual provider Active NPI

Taquina Miranda Warren, PHARMD

  • Pharmacist
  • Smyrna, DE
National Provider Identifier
1427383900
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
A1-0003519 Issued in DE
Practice address
117 E Glenwood Ave
Smyrna, DE 19977-1424
Phone
(302) 471-3046
Fax
(302) 508-2275
NPI assigned
Oct 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X
Pharmacist 183500000X A1-0003519 DE Primary

Addresses

Primary practice location

117 E Glenwood Ave
Smyrna, DE 19977-1424

Mailing address

2 Berryman CT
Middletown, DE 19709-1649
Phone (302) 376-0437

Other names 1

  • Taquina Miranda Wilson Former name

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

LicenseStateTypeSpecialty
A1-0003519DEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Pharmacy Current Accepting new patients
Focus Pharmacy Current Accepting new patients

Locations

117 E Glenwood Ave
Smyrna, DE 19977
Phone (302) 471-3046

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1427383900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BERRYMAN CT",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091649",
            "telephone_number": "302-376-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E GLENWOOD AVE",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771424",
            "telephone_number": "302-471-3046",
            "fax_number": "302-508-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "TAQUINA",
        "middle_name": "MIRANDA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-16",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0003519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAQUINA",
            "last_name": "WILSON",
            "middle_name": "MIRANDA",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Smyrna, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.