DR. RAVEN RACHELLE MIRANDA


Address: 6031 Nelson Rd, Lake Charles, LA 70605-0468
Phone: 3376604359

DR. RAVEN RACHELLE MIRANDA (NPI# 1225498306) 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) 1225498306
Entity Type Individual
Full Name DR. RAVEN RACHELLE MIRANDA
Credential PHARMD
Practice Address 6031 Nelson Rd
Lake Charles
LA 70605-0468
Practice Telephone 3376604359
Mailing Telephone 3376604359
Enumeration Date 2016-03-02
Last Update Date 2016-03-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 183500000X Pharmacist PS 52368 FL Pharmacy Service Providers
Y 183500000X Pharmacist PST 021402 LA Pharmacy Service Providers

Other Providers RAVEN MIRANDA

NPI Name Taxonomy Address Enumeration
1093287872 Raven Miranda Developmental Therapist 321 Fortune Blvd, Milford, MA 01757-1750 2018-12-18

Office Location

Street Address 6031 NELSON RD
City LAKE CHARLES
State LA
Zip Code 70605-0468

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780283606 Kristin R Morris Clinical Nurse Specialist 1900 W. Gaythier Rd, Lake Charles, LA 70605 2020-10-21
1548871577 Jacob M Theriot Nurse Practitioner 2640 County Club Rd., Lake Charles, LA 70605 2020-08-13
1053898403 Heather Spallino Duplechain Nurse Practitioner 6713 Nelson Rd., Lake Charles, LA 70605 2018-07-27
1578057956 Noor Deeb Weckerly Nurse Practitioner 6713 Nelson Rd, Lake Charles, LA 70605 2018-06-19
1861993354 Therapy Works of Swla LLC Physical Therapist 4750 Lake Street, Lake Charles, LA 70605 2018-02-21
1669998852 Amd Healthcare Lc, LLC General Acute Care Hospital 3730 Nelson Road, Lake Charles, LA 70605 2017-08-18
1619422474 Kaitlyn Pinkerton Specialist/Technologist 800 E Mcneese St, Lake Charles, LA 70605 2016-08-22
1104274679 Kelly Rogers Counselor 90 N. Luke 102l, Lafayette, LA 70605 2016-05-25
1548616220 Lisa Monticello Snider Neurological Surgery 3297 Portrush Drive, Lake Charles, LA 70605 2016-05-11
1114387404 Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De Dentist 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 2016-02-29
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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
1407308034 Madeline Landry Pharmacist 3731 Inwood Dr, Lake Charles, LA 70605-6770 2016-10-31
1376099143 Jessica Pete Pharmacist 2818 Barb Ln, Lake Charles, LA 70607-7645 2016-08-31
1386018661 Joseph Tchani Pharmacist 1605 Whispering Woods Dr, Lake Charles, LA 70605-1300 2015-11-24
1861878803 Chelsey Trammell Pharmacist 2000 Gerstner Memorial Dr, Lake Charles, LA 70601 2015-07-31
1801299037 Howard Bosely Pharmacist 899 Hwy 171 North, Lake Charles, LA 70611 2014-10-02
1417356544 Scott Labiche Pharmacist 3415 Highway 14, Lake Charles, LA 70607-2147 2014-08-14
1023417151 Kyle Gardner Pharmacist 2500 North Highway 171, Lake Charles, LA 70601 2014-08-14
1598188443 Lores Roeder Pharmacist 5721 Alder St, Lake Charles, LA 70605-0496 2014-01-29
1508290768 Shanna Tiffany Simon Pharmacist 899 N Highway 171, Lake Charles, LA 70611-5034 2013-08-23
1780938266 Kendra P Achord Pharmacist 899 Hwy 171 N, Lake Charles, LA 70611 2012-11-05
Find all providers in LAKE CHARLES

Competitor

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City LAKE CHARLES
Zip Code 70605

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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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