Brayden Anthony Miranda, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH61446167 Issued in WA

Practice address

3333 S 120TH PL Ste 100
Tukwila, WA 98168-5134

Phone

(425) 687-4400

NPI assigned

Dec 12, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Providence Health & Services - Washington

  • Home Infusion Therapy Pharmacy
  • Tukwila, WA
  • NPI 1285687749
  NPD (past)

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1629846357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 N 34TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980561938",
            "telephone_number": "425-256-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S 120TH PL STE 100",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981685134",
            "telephone_number": "425-687-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "BRAYDEN",
        "middle_name": "ANTHONY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61446167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Michaels, DO, MBA
• Ebony Arone Miller, B.A
• Kearstyn Alexis Miller
• Samuel S. Minagawa, D.D.S.
• Simarpreet K Minhas
• Kylie Elizabeth Mitchell, BS
• Lander Mitchell
• Miles Mitchell, D.C.
• Ryan Mitchell
• Shane Mitchell

• Pharmacist in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.