JERRY D MIRRA (NPI# 1083937411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083937411 |
| Entity Type | Individual |
| Full Name | JERRY D MIRRA |
| Practice Address |
170 Maple Ave White Plains NY 10601-4710 |
| Practice Telephone | 9149497000 |
| Mailing Telephone | 9149497000 |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2014-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 043562 | NY | Pharmacy Service Providers |
| Street Address |
170 MAPLE AVE |
| City | WHITE PLAINS |
| State | NY |
| Zip Code | 10601-4710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174512271 | Christine R Vyskocil | Specialist | 170 Maple Ave, 309, White Plains, NY 10601-4710 | 2005-10-20 |
| 1407414469 | Montefiore Medical Center | Internal Medicine | 170 Maple Ave, White Plains, NY 10601-4710 | 2019-06-04 |
| 1205229028 | Barbara Cassano | Registered Nurse | 170 Maple Ave, G1, White Plains, NY 10601-4710 | 2015-03-18 |
| 1821494782 | Lorice Massias | Nurse Practitioner | 170 Maple Ave, White Plains, NY 10601-4710 | 2014-11-05 |
| 1770990244 | Silvia Gres | Nurse Practitioner | 170 Maple Ave, 309, White Plains, NY 10601-4710 | 2014-07-16 |
| 1700220860 | Behavioral Medicine PC | Counselor | 170 Maple Ave, Suite 203 and Suite 205, White Plains, NY 10601-4710 | 2013-04-19 |
| 1477891521 | Guirlen Cange | Nurse Practitioner | 170 Maple Ave, Suite 502, White Plains, NY 10601 | 2013-01-24 |
| 1952666877 | Aaron E Hagge-greenberg | Urology | 170 Maple Ave, Suite 104, White Plains, NY 10601-4710 | 2012-07-06 |
| 1083975056 | White Plains Hospital Medical Center | Surgery | 170 Maple Ave, Suite 501, White Plains, NY 10601-4710 | 2012-06-06 |
| 1215220595 | White Plains Hospital Medical Center | Midwife | 170 Maple Ave, 4th Floor, White Plains, NY 10601-4710 | 2011-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265089403 | Floras Vision Inc | Eyewear Supplier (Equipment, not the service) | Galleria At White Plains, 100 Main Street, Suite 395, White Plains, NY 10601 | 2019-08-22 |
| 1154988988 | Shemel Jackson | Registered Nurse | Clover Health Services, 75,south Broadway, White Plains, NY 10601 | 2019-05-28 |
| 1720430713 | Gabriel Botero Jr. | Social Worker | White Plains Vet Center, 300 Hamilton Avenue, 1st Floor, Suite C, White Plains, NY 10601 | 2016-07-01 |
| 1538526421 | Edwige Sunshine Lherisson | Registered Nurse | 79 East Post Rd, White Plains, NY 10601 | 2016-01-22 |
| 1174995005 | Dean Dekranis | Social Worker | 33 Barker Avenue 3a, White Plains, NY 10601 | 2015-10-30 |
| 1922482512 | Family Ties of Westchester, Inc. | Community/Behavioral Health | 112 East Post Road, 3rd Floor, White Plains, NY 10601 | 2015-07-14 |
| 1609257955 | Marlissa Fondechene | Chiropractor | 199 Main St Ste 608, White Plains, NY 10601 | 2015-06-12 |
| 1184059933 | Kelly Brooke Graling | Psychologist | 1 N Broadway Ste 704, White Plains, NY 10601 | 2013-09-12 |
| 1750651469 | John A. Coleman School | Local Education Agency (LEA) | 2 Canfield Avenue, Apt #832, White Plains, NY 10601 | 2012-01-11 |
| 1750677118 | Haven Lindsay Caldwell | Internal Medicine | Cancer and Blood Medical Services of Ny, PC, 2-4 Longview Avenue, White Plains, NY 10601 | 2011-06-23 |
| Find all providers in zip 10601 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114543238 | Selvin Soby | Pharmacist | 21 Lake St Apt 1e, White Plains, NY 10603-3864 | 2020-06-24 |
| 1811559339 | Paul C Mouris | Pharmacist | 222 Bloomingdale Rd Ste 406, White Plains, NY 10605-1511 | 2019-07-04 |
| 1043629850 | Adenike Kupolati | Pharmacist | 4220 Altamont Place, White Plains, MD 20695 | 2014-08-06 |
| 1750705307 | Leo J Kannanganamalil | Pharmacist | 415 S Chelsea Rd, White Plains, NY 10603-1925 | 2014-02-18 |
| 1740536515 | Jason Gerard Marinaccio | Pharmacist | 66 E Post Rd Fl 1, White Plains, NY 10601-4621 | 2012-07-31 |
| 1598011488 | Abisola Kemi Bamiteko | Pharmacist | 1 N Lexington Ave, 12th Floor, White Plains, NY 10601-1712 | 2012-07-28 |
| 1306114152 | Hetal Patel | Pharmacist | 101 Knollwood Road, White Plains, NY 10607 | 2011-12-08 |
| 1447551692 | Peggy Johanna Tapia | Pharmacist | 24 Mamaroneck Ave, White Plains, NY 10601-3308 | 2010-11-04 |
| 1629391834 | Liny Koshy | Pharmacist | 325 Mamaroneck Avenue, White Plains, NY 10605 | 2010-03-03 |
| 1659693042 | Peter Angelo Perfito | Pharmacist | 120 N Hampton Dr, White Plains, NY 10603-1908 | 2010-02-25 |
| Find all providers in WHITE PLAINS | ||||
| City | WHITE PLAINS |
| Zip Code | 10601 |
Please comment or provide details below to improve the information on JERRY D MIRRA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.