DR. MIRANDA LANE ALLEN


Address: 1721 Admiral Taussig Blvd, Norfolk, VA 23511
Phone: 7579538756

DR. MIRANDA LANE ALLEN (NPI# 1184957433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184957433
Entity Type Individual
Full Name DR. MIRANDA LANE ALLEN
Other Name DR. MIRANDA ASHLEY LANE
Credential PHARM D
Practice Address 1721 Admiral Taussig Blvd
Norfolk
VA 23511
Mailing Address 2509 Wingfield Rd
Norfolk
VA 23518-4566
Practice Telephone 7579538756
Mailing Telephone 4237946286
Enumeration Date 2009-09-17
Last Update Date 2019-05-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 0202210317 VA Pharmacy Service Providers
N 183500000X Pharmacist E-010562 MS Pharmacy Service Providers
N 183500000X Pharmacist 33676 TN Pharmacy Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1850 Town Center Pkwy, Reston, VA 201903219 4237946286

Other Providers MIRANDA ALLEN

NPI Name Taxonomy Address Enumeration
1376025056 Miranda Leanne Allen Nurse Practitioner 103 Foothills Mall Dr, Maryville, TN 37801-5513 2018-08-30
1700334109 Miranda Allen Marriage & Family Therapist 2540 Charleston St, Oakland, CA 94602-2508 2016-09-14
1891243556 Miranda Williams Allen Counselor 3921 Independence Dr Ste 104, Alexandria, LA 71303-3566 2016-09-12
1154703577 Miranda Allen Surgery 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 2015-06-22

Office Location

Street Address 1721 ADMIRAL TAUSSIG BLVD
City NORFOLK
State VA
Zip Code 23511

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588635072 Alexander Royzenblat Dentist 1721 Admiral Taussig Blvd, Sewell's Point Branch Medical Clinic, Norfolk, VA 23511-2802 2006-02-01
1558877878 Ismael Arturo Lopez Military Health Care Provider 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 2017-12-22
1184133670 Jeffrey Joseph Illinik Physician Assistant 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 2017-09-27
1629525837 Matthew Squires Optometrist 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 2016-09-06
1144775529 Volha Zarubina Just Physician Assistant 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 2016-08-16
1891141768 Itse Begho Student in an Organized Health Care Education/Training Program 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 2016-05-10
1134581176 Damico Hill Physician Assistant 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 2016-03-28
1295194157 David Barclay England II Psychologist 1721 Admiral Taussig Blvd, Department of Mental Health, Norfolk, VA 23511-2802 2016-02-19
1164808598 Justin Michael Loder Physician Assistant 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 2015-08-07
1548645179 Julie Simmons Optometrist 1721 Admiral Taussig Blvd, Optometry, Norfolk, VA 23511-2802 2015-07-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215591888 Nash Richard Galvan Military Health Care Provider 456-462 Pocahontas St, Norfolk, VA 23511 2019-04-29
1578059481 Hillary Anne Diffee Dentist Navsta Norfolk Sewells Point Branch Clinic, 1647 Admiral Taussig Blvd, Norfolk, VA 23511 2018-07-03
1154860237 Alexander Blau General Practice 1751 Morris Street, Comnavsurflant - Medical Readiness Division, Norfolk, VA 23511 2017-02-22
1205188307 Agnes Bautista Banias Dental Hygienist 1647 Admiral Taussig Blvd Br Health Clinic, Naval Medical Center Portsmouth, Norfolk, VA 23511 2012-10-12
1891052676 Conor Francis Hynes Surgery 1530 Gilbert St Ste 2000, Norfolk, VA 23511 2012-04-18
1871867747 Brian Joseph Kennerley Surgery U. S. Marine Corps Forces Command, 1775 Forrestal Drive Bldg 33, Norfolk, VA 23511 2012-02-23
1053629964 Shawnly Heath Ward Military Health Care Provider Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 2010-09-14
1225351760 Jocelyn Martinezdelgado Military Health Care Provider 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 2010-03-11
1245480854 Vanessa O Hofilena Dentist 1647 Admiral Taussig Boulevard, Naval Medical Center Portsmouth - Dental Center, Norfolk, VA 23511 2008-09-19
1780833954 Cecilia M Brownblake Dentist 1647 Admiral Taussig Blvd., Norfolk, VA 23511 2008-09-12
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366040016 Andrew Van Slyke Pharmacist 7550 Granby St, Norfolk, VA 23505-3443 2020-10-14
1073149688 Anton Anderson Pharmacist 1301 W Norfolk Ave, Norfolk, NE 68701-4833 2020-03-14
1932758976 Jennifer Riveros Pharmacist 400 Gresham Dr Ste 104, Norfolk, VA 23507-1901 2019-09-11
1205313343 Emily C Beasley Pharmacist 201 W 21st St Apt 322, Norfolk, VA 23517-2371 2018-07-22
1881188159 Patrick Michael Haar Pharmacist 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 2018-06-19
1851892533 Chad Maas Pharmacist 1718 Troon St, Norfolk, NE 68701-3389 2018-02-27
1518491299 Iffat Sanderlin Pharmacist 5478 Greenplain Rd Apt 107, Norfolk, VA 23502-2363 2017-04-19
1669914586 Laiken Anderson Pharmacist 5033 Pleasant Ave, Norfolk, VA 23518-2015 2016-11-09
1144776725 Amr Hassan Pharmacist 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 2016-09-01
1134673296 Naved Rahim Pharmacist 6101 N Military Hwy, Norfolk, VA 23518-5434 2016-08-06
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Competitor

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City NORFOLK
Zip Code 23511

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Dataset Information

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.

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