MIRACLE CARE PHARMACY INC (NPI# 1558864991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558864991 |
| Entity Type | Organization |
| Organization Name | MIRACLE CARE PHARMACY INC |
| Other Organization Name | MIRACLE CARE PHARMACY |
| Practice Address |
24355 Lyons Ave Ste 110 Santa Clarita CA 91321-2394 |
| Practice Telephone | 3107732226 |
| Practice Fax Number | 8442702227 |
| Mailing Telephone | 3107732226 |
| Mailing Fax Number | 8442702227 |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |
| Authorized Official Name | DR. SIAMAK TEHRANI (PRESIDENT/PIC) |
| Authorized Official Telephone | 3107732226 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
55930 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| MIRACLE CARE PHARMACY | Doing Business As Name - Organization |
| Street Address |
24355 LYONS AVE STE 110 |
| City | SANTA CLARITA |
| State | CA |
| Zip Code | 91321-2394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861728842 | Marameg Ventures | In Home Supportive Care | 24355 Lyons Ave Ste 110, Santa Clarita, CA 91321-2394 | 2009-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275157265 | Lauren Tolcher | Behavioral Analyst | 23502 Lyons Avenue, Suite 304a, Santa Clarita, CA 91321 | 2020-06-04 |
| 1427613900 | Weston William Lensing | Behavior Technician | 3502 Lyons Ave, Ste 304a, Santa Clarita, CA 91321 | 2019-05-09 |
| 1174005003 | Eparthenos | Psychologist | 23504 Lyons Ave #304, Santa Clarita, CA 91321 | 2018-09-06 |
| 1740761105 | The Center for Creative Therapy, Inc | Marriage & Family Therapist | 23030 Lyons Ave Ste 207, Santa Clarita, CA 91321 | 2018-08-23 |
| 1982196879 | Brandi Wright-dohopolski | Acupuncturist | 27820 Freemont Court, Unit 5, Suite E, Valencia, CA 91321 | 2018-06-06 |
| 1780113209 | Jennifer Ann Woods | Physician Assistant | 23645 Meadowridge Drive, 110, Newhall, CA 91321 | 2017-06-08 |
| 1942661624 | Sina Tebi Md Inc | Internal Medicine | 23938 Lyons Avenue, #204, Newhall, CA 91321 | 2016-03-09 |
| 1720452220 | Julie Kim | Pharmacist | 26863 Sierra Hwy, Santa Clarita, CA 91321 | 2015-11-20 |
| 1568855773 | Carly Nikiforuk | Counselor | 24625 Arch St., Newhall, CA 91321 | 2015-03-12 |
| 1437562741 | Teresa Cha Waggoner | Nurse Practitioner | 23772 Newhall Avenue, Newhall, CA 91321 | 2014-06-04 |
| Find all providers in zip 91321 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235648767 | Serour, Inc. | Pharmacy | 27534 Sierra Hwy, Santa Clarita, CA 91351-3088 | 2017-09-27 |
| 1366889362 | Cardinal Health Pharmacy Services LLC | Pharmacy | 28341 Constellation Rd, Santa Clarita, CA 91355-5048 | 2013-05-30 |
| 1376894725 | Kum Corporation | Pharmacy | 19409 Soledad Canyon Rd, Santa Clarita, CA 91351-2632 | 2012-09-26 |
| 1629240460 | Walgreen Co. | Pharmacy | 23925 Newhall Ranch Rd, Santa Clarita, CA 91355-5701 | 2008-04-01 |
| 1720148364 | Valencia Town Center Pharmacy, Inc | Pharmacy | 26357 Mcbean Pkwy Ste 140, Santa Clarita, CA 91355-4491 | 2006-12-12 |
| 1154431757 | Costco Wholesale Corporation | Pharmacy | 18649 Via Princessa, Santa Clarita, CA 91387 | 2006-08-30 |
| 1245275049 | Garfield Beach Cvs LLC | Pharmacy | 26861 Sierra Hwy, Santa Clarita, CA 91321-2274 | 2006-06-17 |
| 1740223940 | Garfield Beach Cvs LLC | Pharmacy | 27983 Seco Canyon Road, Santa Clarita, CA 91350 | 2006-06-14 |
| 1679514582 | Garfield Beach Cvs LLC | Pharmacy | 24840 Orchard Village Rd, Santa Clarita, CA 91355-3054 | 2006-06-10 |
| 1013964592 | Walgreen Co | Pharmacy | 28460 Haskell Canyon Rd, Santa Clarita, CA 91390-5203 | 2006-05-28 |
| Find all providers in SANTA CLARITA | ||||
| City | SANTA CLARITA |
| Zip Code | 91321 |
Please comment or provide details below to improve the information on MIRACLE CARE PHARMACY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.