Active NPI
Miranda Noelle Franke, PHARMD
- Pharmacist
- Shelter Island Heights, NY
National Provider Identifier
1750865010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 064757
- Practice address
- 19 Grand Ave
Shelter Island Heights, NY 11965-2000 - Phone
- (631) 749-0445
- NPI assigned
- Sep 21, 2018
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 064757 | NY | Primary |
Addresses
Primary practice location
19 Grand Ave
Shelter Island Heights, NY 11965-2000
Mailing address
60435 Main Rd
Southold, NY 11971-4710
Phone (631) 871-3108
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 |
|---|---|---|---|
| 064757 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1750865010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60435 MAIN RD",
"city": "SOUTHOLD",
"state": "NY",
"postal_code": "119714710",
"telephone_number": "631-871-3108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 GRAND AVE",
"city": "SHELTER ISLAND HEIGHTS",
"state": "NY",
"postal_code": "119652000",
"telephone_number": "631-749-0445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANKE",
"first_name": "MIRANDA",
"middle_name": "NOELLE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-21",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "064757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelter Island Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.