Individual provider Active NPI

Teresita Macalling Miranda Visaya, RPH

  • Pharmacist
  • New York, NY
National Provider Identifier
1720106115
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
29601 Issued in NY
Practice address
11 Penn Plaza
Mail Med Pharmacy Suite 330
New York, NY 10001-2006
Phone
(212) 279-3232
Fax
(212) 629-0749
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 29601 NY Primary

Addresses

Primary practice location

11 Penn Plaza
Mail Med Pharmacy Suite 330
New York, NY 10001-2006

Mailing address

150 Davison Ave
Lynbrook, NY 11563-1015
Phone (516) 593-8596

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
29601NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720106115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DAVISON AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631015",
            "telephone_number": "516-593-8596",
            "fax_number": "212-624-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PENN PLAZA",
            "address_2": "MAIL MED PHARMACY SUITE 330",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012006",
            "telephone_number": "212-279-3232",
            "fax_number": "212-629-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA VISAYA",
        "first_name": "TERESITA",
        "middle_name": "MACALLING",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "29601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

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.

Verify at the official NPI Registry.