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LHO PHARMACY LLC
NPI 1700874591
Pharmacy - Long Term Care Pharmacy in Oshkosh, WI

Active since October 06, 2005CLIA 52D0397311 · Waiver
225 N EAGLE ST, OSHKOSH, WI 54902(920) 966-1345(920) 966-1285 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lho Pharmacy Llc NPPES

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

LHO PHARMACY LLC (NPI 1700874591) is a healthcare organization registered as a long term care pharmacy in Oshkosh, Wisconsin and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Barry Brewer, Director Of Pharm Services, as its authorized official.

NPPES Registry Identity

NPI1700874591
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameMIRAVIDA LIVING
Location Address225 N EAGLE STOshkosh, WI 54902-4125
Mailing Address225 N Eagle StOshkosh, WI 54902-4125 · (920) 966-1345 · Fax (920) 966-1285
Phone(920) 966-1345
Fax(920) 966-1285
Organization SubpartNo
Authorized OfficialBarry BrewerDirector Of Pharm Services · (920) 966-1345
Enumeration DateOctober 6, 2005
Last NPPES UpdateJuly 19, 2018
✔ NPI 1700874591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in WI · 827342
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
225 N EAGLE ST, Oshkosh, WI 54902
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Other Names 1

Doing Business AsLho Pharmacy Llc

Other Identifiers 2

Medicaid33267400WI
Other2110060Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0397311

Miravida Living Inc · Oshkosh, WI
Active · expires Aug 31, 2026
CLIA Number52D0397311
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKelly Fitzpatrick
Laboratory Phone(920) 235-4653
Laboratory LocationMiravida Living Inc225 N Eagle St, Oshkosh, WI 54901
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
33 services33 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
33 services33 patients

Other Providers at the Same Location NPPES 4

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

BETHEL HOME, INC.
Skilled Nursing Facility
225 N EAGLE ST
OSHKOSH, WI 54902
Winnebago County (920) 235-4653
MADDIX FAYE BARTZ
Speech-Language Pathologist
225 N EAGLE ST
OSHKOSH, WI 54902
Winnebago County (920) 235-3454
MR. BARRY BREWER R.PH.
Pharmacist
225 N EAGLE ST
OSHKOSH, WI 54902
Winnebago County (920) 966-1345
MALERY ROBL COTA
Occupational Therapy Assistant
225 N EAGLE ST
OSHKOSH, WI 54902
Winnebago County (920) 235-3454

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 Miravida Living's NPI number?

The NPI number for Miravida Living is 1700874591. It was assigned to this organization in the NPPES registry on October 6, 2005. The provider is doing business as Lho Pharmacy LLC.

Where is Miravida Living located?

Miravida Living is located at 225 N Eagle St, Oshkosh, WI 54902. The listed phone number is (920) 966-1345.

What is Miravida Living's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Miravida Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0397311) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Miravida Living accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Miravida Living as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Miravida Living was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.