MIRACLE RUTH EDISON PH60920591
NPI 1003461260
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Bellevue, WA

Active since August 05, 2019
3620 FACTORIA BLVD SE, BELLEVUE, WA 98006(425) 644-7529 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miracle Ruth Edison Ph60920591 NPPES

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

MIRACLE RUTH EDISON PH60920591 (NPI 1003461260) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Bellevue, Washington, licensed in Washington (60920591) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1003461260
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameMIRACLE RUTH EDISONCredential: PH60920591
Location Address3620 FACTORIA BLVD SEBellevue, WA 98006-6128
Mailing Address3620 Factoria Blvd SeBellevue, WA 98006-6128 · (425) 644-7529 · Fax (425) 502-5482
Sole ProprietorNo
Enumeration DateAugust 5, 2019
NPI 1003461260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in WA · 60920591
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
3620 FACTORIA BLVD SE, Bellevue, WA 98006

Other Providers at the Same Location NPPES 5

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

Pharmacist
3620 FACTORIA BLVD SE
BELLEVUE, WA 98006
Pharmacist
3620 FACTORIA BLVD SE
BELLEVUE, WA 98006
Pharmacy (Community/Retail Pharmacy)
3620 FACTORIA BLVD SE
BELLEVUE, WA 98006
Pharmacist
3620 FACTORIA BLVD SE
BELLEVUE, WA 98006
Pharmacist
3620 FACTORIA BLVD SE
BELLEVUE, WA 98006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miracle Edison's NPI number?

The NPI number for Miracle Edison is 1003461260. It was assigned to this individual provider in the NPPES registry on August 5, 2019.

Where is Miracle Edison located?

Miracle Edison practices at 3620 Factoria Blvd SE, Bellevue, WA 98006. The listed phone number is (425) 644-7529.

What is Miracle Edison's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Miracle Edison was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.