ANDREA BROOKE MIRACLE PHARM. D - NPI 1003193624 - Pharmacist in New Tazewell, TN

Q: What is Andrea Miracle's NPI number?

The NPI number for Andrea Miracle is 1003193624. It was assigned to this individual provider in the NPPES registry on November 10, 2011.

Q: What is Andrea Miracle's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Miracle was last updated on November 18, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Andrea Brooke Miracle Pharm. D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA BROOKE MIRACLE PHARM. D (NPI 1003193624) is an individual pharmacist in New Tazewell, Tennessee, licensed in Tennessee (33135) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1003193624

Entity TypeIndividualFemale

Primary Taxonomy183500000X

Provider Legal NameANDREA BROOKE MIRACLECredential: PHARM. D

Location Address915 N BROAD STNew Tazewell, TN 37825-6633

Mailing Address915 N Broad StNew Tazewell, TN 37825-6633

Phone(423) 626-5511

Fax(423) 626-5544

Sole ProprietorYes

Enumeration DateNovember 10, 2011

Last NPPES UpdateNovember 18, 2011

✔ NPI 1003193624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

Licenses✔ Licensed in TN · 33135✔ Licensed in KY · 014669

Definition

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.

915 N BROAD ST, New Tazewell, TN 37825

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITNEY MONIQUE GOINS PHARMD

Pharmacist