Mirra Rx Inc
NPI 1902109952ActiveOrganization· Pharmacy, Specialty Pharmacy· Valhalla, NY
Pharmacy, Specialty Pharmacy in Valhalla, New York, registered in NPPES in December 2010. The authorized official on file is Jerry Dominick Mirra, RPH, President.
Overview
| NPI | 1902109952 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2010 |
| Last updated in NPPES | Jul 10, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Specialty Pharmacy Primary | 3336S0011X | 030332 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|