Miranda Green
Community/Retail Pharmacy
101 W Avenue D, Heavener
Oklahoma, 74937-3017
918-653-4803 918-653-3520
Miranda Green is a Community/Retail Pharmacy in Heavener, Oklahoma. It is located at 101 W Avenue D, Heavener and it's customer support contact number is 918-653-4803. The authorized person of Miranda Green is Miranda Green, PD who is Owner of the pharmacy and his contact number is 918-653-4803. Active license number of Miranda Green is 19-5501 for Community/Retail Pharmacy in Oklahoma.
Miranda Green is 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.
Pharmacy Details:
Miranda Green type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Miranda Green |
| Type: | Community/Retail Pharmacy |
| Location: | 101 W Avenue D, Heavener,
Oklahoma, 74937-3017 |
| Phone: | 918-653-4803 |
| Fax: | 918-653-3520 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Miranda Green |
| Credentials: | PD |
| Position: | Owner |
| Contact Number: | 918-653-4803 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1760523625 |
| NPI Enumeration Date: | 12 Feb, 2007 |
| NPI Last Update On: | 18 Nov, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miranda Green are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 19-5501 | Oklahoma | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100234100 | Medicaid | Oklahoma | |
| 2072800 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 101 W Avenue D,
Heavener, Oklahoma |
| Zip: | 74937-3017 |
| Phone Number: | 918-653-4803 |
| Fax Number: | 918-653-3520 |
Patients can reach Miranda Green at
101 W Avenue D, Heavener, Oklahoma or can
call on customer care at 918-653-4803.
Comments/ Reviews:
Read all the reviews posted for Miranda Green below. You may also share your own experience with Miranda Green. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.