MIRANDA JORDAN GRACE (NPI# 1942820006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942820006 |
| Entity Type | Individual |
| Full Name | MIRANDA JORDAN GRACE |
| Practice Address |
10 Industrial Ave Chelmsford MA 01824-3610 |
| Mailing Address |
15 Sears Island Dr Worcester MA 01606-3523 |
| Practice Telephone | 9782501018 |
| Mailing Telephone | 6178770623 |
| Enumeration Date | 2020-04-19 |
| Last Update Date | 2020-04-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
22227 | MA | Pharmacy Service Providers |
| Street Address |
10 INDUSTRIAL AVE |
| City | CHELMSFORD |
| State | MA |
| Zip Code | 01824-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861440679 | Chelmsford Va Cmop | Department of Veterans Affairs (VA) Pharmacy | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2006-05-04 |
| 1811519267 | Adele Joyce Boudreau | Pharmacist | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2020-05-08 |
| 1477041549 | Alina Patton | Pharmacist | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2018-04-24 |
| 1013443209 | Michael Kimmel | Pharmacist | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2017-05-07 |
| 1578979977 | Adelaide Antwi Boateng-okyere | Pharmacist | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2014-07-07 |
| 1427472513 | Carol Leary | Pharmacist | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2014-02-10 |
| 1295159598 | Janice Youngju Yoo | Pharmacist | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2014-02-07 |
| 1023364338 | Joane Elizabeth Golden | Pharmacist | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2012-07-24 |
| 1336384437 | Clark Edward Imperioso | Pharmacist | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2008-12-04 |
| 1356595755 | Jerome Fitzer | Pharmacist | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2008-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701776 | Nepsc-lowell LLC | Surgery | 33 Village Square, Chelmsford, MA 01824 | 2019-10-09 |
| 1447805015 | Owl Pediatric Therapy LLC | Speech-Language Pathologist | 360 Littleton Road, #g6, Chelmsford, MA 01824 | 2019-08-09 |
| 1083277420 | Praisey Joseph | Nurse Practitioner | Massachusetts Ent Associates, Inc, 3 Meeting House Rd Suite 24, Chelmsford, MA 01824 | 2019-04-22 |
| 1013434513 | Sherry Ranjbar | Counselor | 13 Horseshoe Rd, Chelmsford, MA 01824 | 2017-08-24 |
| 1942666250 | Alyssa Paton | Nurse Practitioner | 4 Meeting House Rd Ste 1, Chelmsford, MA 01824 | 2016-01-04 |
| 1144696675 | Serene Williams-kasili | Nurse Practitioner | 35 Village Square, Chelmsford, MA 01824 | 2015-08-19 |
| 1437536901 | Chelmsford Family Dentists PC | Dentist | 18 Boston Road, Suite 400, Chelmford, MA 01824 | 2015-05-04 |
| 1508284084 | Caitlin Polistena | Surgery | 21 Village Sqaure, Chelmsford, MA 01824 | 2014-04-02 |
| 1932442662 | Scott Finlay | Otolaryngology | 3 Meeting House Rd Ste 23and24, Chelmsford, MA 01824 | 2013-04-01 |
| 1700127925 | Safetynet Community Dental Health Center | Clinic/Center | 3 Courhouse Lane, Chelmsford, MA 01824 | 2013-03-13 |
| Find all providers in zip 01824 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649497355 | Diane Elizabeth Cote | Pharmacist | 228 Billerica Rd, Chelmsford, MA 01824-3604 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902419948 | Andrew Stein | Pharmacist | 401 Great Plain Ave, Needham, MA 02492-3735 | 2020-08-28 |
| 1356954010 | Hossein Monzavi | Pharmacist | 25 Carleton St Bldg E-23, Cambridge, MA 02142-1323 | 2020-08-24 |
| 1275151946 | Sima Sheth Patel | Pharmacist | 112 Pine Hill Rd, Bedford, MA 01730-1658 | 2020-07-09 |
| 1750901419 | Tiffany Nicole Powers | Pharmacist | 96 Chestnut St, Foxborough, MA 02035-1444 | 2020-04-23 |
| 1538792270 | Collin O'neill | Pharmacist | 135 Pleasant St Apt 405, Brookline, MA 02446-7187 | 2020-02-21 |
| 1043854391 | Hiral Patel | Pharmacist | 150 Northnoro Road, Suite 4, Southborough, MA 01772 | 2019-10-30 |
| 1376193581 | Andrew Swanner | Pharmacist | 250 W 5th St Apt 3, Boston, MA 02127-4604 | 2019-09-19 |
| 1235799016 | Vi Dang | Pharmacist | 1175 Chestnut St Unit 24, Newton Upper Falls, MA 02464 | 2019-06-14 |
| 1558843896 | Laura Elizabeth Martin | Pharmacist | 133 Old Rd 9 Acre Cor, Concord, MA 01742-4169 | 2018-09-04 |
| 1487183380 | Benjamin Laliberte | Pharmacist | 55 Fruit St # St-005, Boston, MA 02114-2621 | 2017-06-06 |
| Find all providers with the same taxonomy | ||||
| City | CHELMSFORD |
| Zip Code | 01824 |
Please comment or provide details below to improve the information on MIRANDA JORDAN GRACE.
| 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.