Individual provider Active NPI

Miranda L Jones, PHARMD

  • Pharmacist
  • Belfast, ME
National Provider Identifier
1699108670
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PR12905 Issued in ME
Practice address
15G Starrett Dr
Belfast, ME 04915-6563
Phone
(207) 338-0441
NPI assigned
Aug 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PR12905 ME Primary

Addresses

Primary practice location

15G Starrett Dr
Belfast, ME 04915-6563

Mailing address

15G Starrett Dr
Belfast, ME 04915-6563
Phone (207) 338-0441

Other identifiers 1

IdentifierTypeStateIssuer
PR12905OtherMERPH LICENSE

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
PR12905MEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Belfast Drug Company Inc. CurrentSince May 24, 2020 Accepting new patients

Locations

15G Starrett Dr
Belfast, ME 04915
Phone (207) 338-0441

Organizations & group practices 1

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": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1699108670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15G STARRETT DR",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156563",
            "telephone_number": "207-338-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15G STARRETT DR",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156563",
            "telephone_number": "207-338-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MIRANDA",
        "middle_name": "L",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR12905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH LICENSE",
            "identifier": "PR12905",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfast, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.