Mirra Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

022782 Issued in NY

Legal business name

MIRRA PHARMACY CORP

Practice address

82 E Post Rd
White Plains, NY 10601-5007

Phone

(914) 949-7000

Fax

(914) 949-3259

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Ruth E Mirra

Title

President

Phone

(914) 949-7000

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MEDICAL CENTER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anita Y Lee, PHARM.D

  • Pharmacist
  • White Plains, NY
  • NPI 1801118146
  NPD

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1619059409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 E POST RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106015007",
            "telephone_number": "914-949-7000",
            "fax_number": "914-949-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 E POST RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106015007",
            "telephone_number": "914-949-7000",
            "fax_number": "914-949-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRRA PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "MIRRA",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-949-7000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "022782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2060148",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01597671",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adnan Mir, MD
• Michael Richard Mirabella, MS, ATC, CSCS
• Laura Miranda, NURSE PRACTITIONER
• Laurence S. Miressi, RPH
• Patricia Miro, FNP
• Rachel Marie Mitaritonna, SWI
• Elisabeth Sheridan Mitchell, PHD
• Grant E Mitchell, MD
• Tina Mitchell, RN INFUSION
• Daniel J Mittleman, OD

• Community/Retail Pharmacy in White Plains, NY
• Providers in White Plains, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.