Active NPI
Miranda Inman
- Pharmacist
- Great Falls, MT
National Provider Identifier
1790354215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69576
- Practice address
- 2301 10TH Ave S
Great Falls, MT 59405-2967 - Phone
- (406) 727-1376
- NPI assigned
- Jun 19, 2021
- Last updated
- Jun 19, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 69576 | MT | Primary |
Addresses
Primary practice location
2301 10TH Ave S
Great Falls, MT 59405-2967
Mailing address
16 Missouri SHRS
Great Falls, MT 59404-6493
Phone (832) 677-5376
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69576 | MT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2301 10th Ave S
Great Falls, MT 59405
Phone (406) 727-1376
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624060800000",
"number": "1790354215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MISSOURI SHRS",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594046493",
"telephone_number": "832-677-5376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 10TH AVE S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594052967",
"telephone_number": "406-727-1376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INMAN",
"first_name": "MIRANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-19",
"last_updated": "2021-06-19",
"certification_date": "2021-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "69576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
- Ideal Telemedicine Services, LLC
- Idealics, LLC (The Hearing Place)
- Independent Supply Group, LLC
- Indian Family Health Clinic of Great Falls Inc
- Initialcare Plus, PLLC
- Inner Reflections Healthcare
- Michael Leroy Inniss, MD
- Innovative Pain Management Clinic, Inc
- Intermountain Planned Parenthood (Planned Parenthood of Montana)
- Kylie Jacqueline Irish, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.