MIRRA PHARMACY CORP (NPI# 1619059409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619059409 |
| Entity Type | Organization |
| Organization Name | MIRRA PHARMACY CORP |
| Other Organization Name | MEDICAL CENTER PHARMACY |
| Practice Address |
170 Maple Ave White Plains NY 10601-4710 |
| Practice Telephone | 9149497000 |
| Practice Fax Number | 9149493259 |
| Mailing Telephone | 9149497000 |
| Mailing Fax Number | 9149493259 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | JERRY MIRRA (PRES) |
| Authorized Official Telephone | 9149497000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
022782 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2060148 | 01 | |
| NY | 01597671 | 05 |
| Other Name | Type Code |
|---|---|
| MEDICAL CENTER PHARMACY | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MIRRA PHARMACY CORP. | 283 Commack Road, P.o. Box 262, Commack, Ny 11725 |
| 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 | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
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| 1114232097 | Shoprite Supermarkets, Inc | Pharmacy | 13 City Place, White Plains, NY 10601-3309 | 2010-08-16 |
| 1609974252 | Cvs Albany LLC | Pharmacy | 452 Mamaroneck Ave, White Plains, NY 10605-1802 | 2006-09-20 |
| 1710084207 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 4200 Altamont Place, White Plains, MD 20695 | 2006-09-19 |
| 1134223993 | Cvs Albany LLC | Pharmacy | 325 Mamaroneck Ave, White Plains, NY 10605-1440 | 2006-09-12 |
| 1396848123 | Cvs Albany, L.L.C. | Pharmacy | 601 N Broadway, White Plains, NY 10603-3219 | 2006-09-07 |
| 1851313407 | Cvs Albany LLC | Pharmacy | 9 City Pl, White Plains, NY 10601-3331 | 2006-07-24 |
| 1588086730 | Cvs/pharmacy | Pharmacy | 601 N Broadway, White Plains, NY 10603-3219 | 2014-01-07 |
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| 1124627302 | Elite Pharmacy Inc. | Pharmacy | 614a Grand St, Brooklyn, NY 11211-4802 | 2020-10-20 |
| 1073111951 | Pharmacy On Bay Street Inc. | Pharmacy | 1209 Bay St, Staten Island, NY 10305-3121 | 2020-10-13 |
| 1760080741 | Carol Pharmacy LLC | Pharmacy | 4230 Broadway, New York, NY 10033-3746 | 2020-10-13 |
| 1528666443 | Mvp Pharmacy Inc | Pharmacy | 920 Wheeler Rd Ste 920, Hauppauge, NY 11788-2900 | 2020-10-13 |
| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | WHITE PLAINS |
| Zip Code | 10601 |
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| 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.