MR. JUSTIN TYLER MIRACLE
NPI 1497354880
Pharmacist in Corvallis, OR
About Mr. Justin Tyler Miracle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JUSTIN TYLER MIRACLE (NPI 1497354880) is an individual pharmacist in Corvallis, Oregon, licensed in Oregon (RPH0018483) and active in the NPI registry since October 2020. He maintains a secondary practice location in Corvallis.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CORVALLIS, OR 97330
CORVALLIS, OR 97330
CORVALLIS, OR 97330
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 Justin Miracle's NPI number?
The NPI number for Justin Miracle is 1497354880. It was assigned to this individual provider in the NPPES registry on October 18, 2020.
Where is Justin Miracle located?
Justin Miracle practices at 777 NW Kings Blvd, Corvallis, OR 97330. The listed phone number is (541) 754-5583.
What is Justin Miracle's specialty?
The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.
When was this NPI record last updated?
The NPPES record for Justin Miracle was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.