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MICAELA HERSH
NPI 1164240040
Pharmacy in Corvallis, OR

Active since September 30, 2024
873 NW OAK AVE, CORVALLIS, OR 97330(360) 608-2791 Get Directions Write a Review

NPPES record last updated: September 13, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 13, 2025, Sep 30, 2024 (2 updates tracked since 2024).

About Micaela Hersh NPPES

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

MICAELA HERSH (NPI 1164240040) is an individual pharmacy provider in Corvallis, Oregon, licensed in Oregon (PI-0014100) and active in the NPI registry since September 2024. She maintains a secondary practice location in Anchorage.

NPPES Registry Identity

NPI1164240040
Entity TypeIndividualFemale
Primary Taxonomy333600000X
Provider Legal NameMICAELA HERSH
Location Address873 NW OAK AVECorvallis, OR 97330-1518
Mailing Address7731 E Northern Lights BlvdAnchorage, AK 99504-3572 · (907) 339-1760
Phone(360) 608-2791
Sole ProprietorYes
Enumeration DateSeptember 30, 2024
Last NPPES UpdateSeptember 13, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2025
✔ NPI 1164240040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in OR · PI-0014100
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
873 NW OAK AVE, Corvallis, OR 97330
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Secondary Practice Location 1

Location 17731 E Northern Lights BlvdAnchorage, AK 99504-3572 · Phone (907) 339-1760

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 Micaela Hersh's NPI number?

The NPI number for Micaela Hersh is 1164240040. It was assigned to this individual provider in the NPPES registry on September 30, 2024.

Where is Micaela Hersh located?

Micaela Hersh practices at 873 NW Oak Ave, Corvallis, OR 97330. The listed phone number is (360) 608-2791.

What is Micaela Hersh's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Micaela Hersh was last updated on September 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.