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Active NPI 1568121903 Individual Practitioner Female Practitioner

Mirna Liseth Portillo

Pharmacist • Lynn, MA

Professional Overview & Biography Verified Profile Summary

Mirna Portillo is a registered healthcare professional specializing in Pharmacist in Lynn, MA. Practice services are available at 200 S COMMON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 S Common St

Lynn, MA 019052453

Telephone 7815921470
Associated Practice Facility / Clinic
🏢 Cvs Pharmacy Inc Facility NPI 1205033586

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Lynn, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
57 Specialists

Practicing in Lynn, MA (6023 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-13
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MA PH240502

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Linh Le , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1306441332

Doctor of Pharmacy (Pharm.D.)

Jacky Lu , RPH

Pharmacist

NPI 1760087787

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 13, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2021

Registered at 200 S COMMON ST, LYNN, MA 019052453 (Tel: 7815921470)

📍
Updated Business Mailing Address December 13, 2021

Registered at 10 CLOVELLY ST APT 2, LYNN, MA 019022602 (Tel: 7818208123)

👤
Provider Name / Credentials Updated December 13, 2021

Recorded as MIRNA PORTILLO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2021

Pharmacist (License #PH240502 in MA)

🟢
Initial NPI Registration & Enumeration December 13, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568121903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2021
Last Update: December 13, 2021
Sole Proprietor: No

Mailing Address

10 Clovelly St Apt 2

Lynn, MA 019022602

Phone: 7818208123

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.