Active NPI
Mira Andraws
- Pharmacist
- Moreno Valley, CA
National Provider Identifier
1942198759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 90868
- Practice address
- 12815 Heacock St
Moreno Valley, CA 92553-3116 - Phone
- (866) 370-1908
- NPI assigned
- Jun 27, 2025
- 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 | 90868 | CA | Primary |
Addresses
Primary practice location
12815 Heacock St
Moreno Valley, CA 92553-3116
Mailing address
6910 Peralta PL
Riverside, CA 92509-6311
Phone (562) 399-2411
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 |
|---|---|---|---|
| 90868 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750982400000",
"number": "1942198759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6910 PERALTA PL",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925096311",
"telephone_number": "562-399-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12815 HEACOCK ST",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925533116",
"telephone_number": "866-370-1908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRAWS",
"first_name": "MIRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-27",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "90868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moreno Valley, CA
- Kierra Kenea-Joi Anderson
- Kristen Marie Anderson, M.D., PH.D.
- Linda Yvette Anderson, APRN, FNP-BC
- Sheena Renea Anderson
- Jessica Andrade
- Andrew Price Optometry Inc
- Haley T Andrews, PHARMD
- Angel of Faith Non Profit Organization
- Angels and Doves Residential Assisted Living LLC
- Jasmine Eve Anger-Betz, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.