MEDICARE: MR. KEVIN KENT MIANO RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	10569	LA

General Provider Information

NPI Number	:	1093826877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KEVIN KENT MIANO RPH

Provider Business Mailing Address
First Line	:	39704 ROU MAR NEI DR
Second Line	:
City	:	PONCHATOULA
State	:	LA
Zip	:	70454-6485
Country	:	US
Telephone Number	:	985-370-5767
Fax Number	:	985-653-9980

Provider Business Practice Location Address
First Line	:	1830 W AIRLINE HWY
Second Line	:
City	:	LA PLACE
State	:	LA
Zip	:	70068-3335
Country	:	US
Telephone Number	:	985-653-9974
Fax Number	:	985-653-9980

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1659696912 — ANDREA D. GERMOND M.D.
Practice Location Address:

1101 MEDICARE CTR. BLVD. , HOSPITALIST DEPARTMENT
MARRERO, LA
70072

Practice Phone: 504-349-1656
Practice Fax: 504-349-1933

1023188000 — MRS. JANENE BELL SCOTT PHARMD
Practice Location Address:

1830 W AIRLINE HWY
LA PLACE, LA
70068-3335

Practice Phone: 985-653-9974
Practice Fax: 985-653-9980

1649326364 — MS. NANCY DENISE PHERIGO R.N.
Practice Location Address:

1808 W AIRLINE HWY
LA PLACE, LA
70068-3335

Practice Phone: 985-652-8444
Practice Fax: 95-652-2450

1922935014 — EMBARK LLC
Practice Location Address:

34414 NE FINALBURG RD
LA CENTER, WA
98629-3335

Practice Phone: 360-670-0582
Practice Fax:

1356323497 — DR. VINCENT VINCENT III MD
Practice Location Address:

3335 PRESCOTT RD
ALEXANDRIA, LA
71301-3916

Practice Phone: 318-448-3210
Practice Fax: 318-443-4874

1609867191 — OBSTETRICAL & GYNECOLOGICAL ASSOCIATES
Practice Location Address:

3335 PRESCOTT RD
ALEXANDRIA, LA
71301-3916

Practice Phone: 318-448-3210
Practice Fax: 318-443-4874

Directions to “ MR. KEVIN KENT MIANO RPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.