Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miranda Versace Fortner, PHARMD

Individual provider Pharmacist · NPI 1528744307

Miranda Versace Fortner, PHARMD is a Pharmacist in Maryville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2023.

Licensed in
TN
In the registry since
2023
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

220 Foothills Mall Dr
Maryville, TN 37801
Phone: (865) 379-7899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 47235 (TN)

Record details

NPI number1528744307
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedJune 26, 2023
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address220 Foothills Mall Drive, Maryville, TN 37801

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