OrganizationActive
Miranda Green
NPI 1760523625 · Community/Retail Pharmacy · Heavener, OK
Miranda Green is a Community/Retail Pharmacy organization in Heavener, OK (NPI 1760523625).
Provider details
- NPI number
- 1760523625
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Miranda Green, Owner(918) 653-4803
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 W Avenue D
Heavener, OK 74937-3017
Phone: (918) 653-4803
Fax: (918) 653-3520
Street-level locationGet directions
Mailing address
101 W Avenue D
Heavener, OK 74937-3017
Other names (DBA / former)
- Doing business as
- Greens Prescription Center
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2015-11-18
Frequently asked questions
- What is Miranda Green's NPI number?
- Miranda Green's National Provider Identifier (NPI) is 1760523625, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Miranda Green?
- Miranda Green is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Miranda Green located?
- Miranda Green's practice location on file with NPPES is 101 W Avenue D, Heavener, OK 74937-3017.
- What is Miranda Green's phone number?
- The practice phone number listed in the NPPES registry for Miranda Green is (918) 653-4803.
- Who is the authorized official for Miranda Green?
- The authorized official listed on Miranda Green's NPPES record is Miranda Green, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Miranda Green's NPI active?
- Yes — Miranda Green's NPI (1760523625) is active in the NPPES registry as of the last update on 2015-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.