Miranda Coleman, PHARMD

Individual provider Active NPI Pharmacist · North Kingstown, RI

NPI 1760102776 · NPPES record last updated Aug 30, 2022

Key facts

NPI
1760102776
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
6285 (RI)
Practice address
6495 Post Rd
North Kingstown, RI 02852-1829
Phone
(401) 885-4920
NPI assigned
Aug 30, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
6285RIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island CVS Pharmacy LLC Past
since Sep 4, 2022
Accepting new patients
Rhode Island CVS Pharmacy, L.L.C. Past
since Sep 4, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6285 RI Yes

Addresses

Primary practice location

6495 Post Rd
North Kingstown, RI 02852-1829

Mailing address

14 Natalie LN
Warwick, RI 02886-0302

Other providers in North Kingstown, RI

All providers in North Kingstown, RI · Pharmacist in Rhode Island

Sources for this page

Verify at the official NPI Registry.