Miranda Jordan Grace

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

22227 Issued in MA

Practice address

10 Industrial Ave
Chelmsford, MA 01824-3610

Phone

(978) 250-1018

NPI assigned

Apr 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1587254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587254400000",
    "number": "1942820006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SEARS ISLAND DR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016063523",
            "telephone_number": "617-877-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 INDUSTRIAL AVE",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243610",
            "telephone_number": "978-250-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "MIRANDA",
        "middle_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-19",
        "last_updated": "2020-04-19",
        "certification_date": "2020-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MA",
            "license": "22227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "1861440679",
            "affiliation": "N",
            "endpointDescription": "1861440679",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10 Industrial Ave",
            "city": "Chelmsford",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018243610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Persis Gonsalves, PT
• Jorge E Gonzalez, M.D.
• Sarah Linn Gonzalez, FNP
• James M. Goodman, MD
• Katera Leigh Gould
• Tracy Elizabeth Grant, LMHC
• Great Hill Dental Partners, LLC
• Greater Lowell Personal Development LLC
• Greater Lowell Speech Therapy LLC
• Callie Jean Grenier, FNP-C

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Chelmsford, MA
• Providers in Chelmsford, MA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2020; 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.