Active NPI
Nancy Miranda, PHARMD, CPH
- Pharmacotherapy Pharmacist
- Land O Lakes, FL
National Provider Identifier
1720075344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- PS33593
- Practice address
- 6919 Parkway Blvd
Land O Lakes, FL 34639-2909 - Phone
- (813) 558-5000
- Fax
- (813) 558-5018
- NPI assigned
- Sep 29, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PS33593 | FL | Primary |
Addresses
Primary practice location
6919 Parkway Blvd
Land O Lakes, FL 34639-2909
Mailing address
19523 Morden Blush Dr
Lutz, FL 33558-9084
Phone (813) 558-5000
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS33593 | FL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720075344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19523 MORDEN BLUSH DR",
"city": "LUTZ",
"state": "FL",
"postal_code": "335589084",
"telephone_number": "813-558-5000",
"fax_number": "813-558-5018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6919 PARKWAY BLVD",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346392909",
"telephone_number": "813-558-5000",
"fax_number": "813-558-5018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "NANCY",
"name_prefix": "Dr.",
"credential": "PHARMD, CPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "FL",
"license": "PS33593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Land O Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.