MIRACLE CARE INC (NPI# 1710992367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710992367 |
| Entity Type | Organization |
| Organization Name | MIRACLE CARE INC |
| Other Organization Name | THE MEDICINE SHOPPE |
| Practice Address |
19225 Ventura Blvd Tarzana CA 91356-3122 |
| Practice Telephone | 8189962878 |
| Practice Fax Number | 8189962877 |
| Mailing Telephone | 8189962878 |
| Mailing Fax Number | 8189962877 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2018-04-30 |
| Authorized Official Name | ARTHUR KARAGEZYAN (OWNER) |
| Authorized Official Telephone | 8189962878 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHY51652 | CA | Suppliers |
| N | 333600000X | Pharmacy | PHY51652 | CA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY51652 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2122599 | 01 | |
| CA | 2029339 | 05 | |
| CA | CALIFORNIA STATE BOARD OF PHARMACY PERMIT | PHY51652 | 01 |
| CA | NCPDP NUMBER | 05-64624 | 01 |
| Other Name | Type Code |
|---|---|
| The Medicine Shoppe | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528496510 | Miracle Care Inc | Respite Care | 6044 Hickory Ridge Mall Suite 132, Memphis, TN 38115 | 2013-10-29 |
| 1861749285 | Miracle Care Inc | Early Intervention Provider Agency | 13 Empire Ln, Lakewood, NJ 08701-5162 | 2012-08-06 |
| Street Address |
19225 VENTURA BLVD |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-3122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| 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 |
|---|---|---|---|---|
| 1992319347 | One Veritas Pharmacy | Pharmacy | 18607 Ventura Blvd Ste 109, Tarzana, CA 91356-4165 | 2020-09-02 |
| 1407369929 | Rx Pharmaceutical, Inc | Pharmacy | 18840 Ventura Blvd Ste 120, Tarzana, CA 91356-3301 | 2017-11-06 |
| 1285144576 | Goho Inc. | Pharmacy | 18155 Ventura Blvd, Tarzana, CA 91356-3616 | 2017-10-02 |
| 1417474420 | Glove Works Inc | Pharmacy | 19664 Ventura Blvd, Tarzana, CA 91356-2970 | 2017-08-30 |
| 1932335429 | Care All Pharmacy | Pharmacy | 5620 Wilbur Ave # 101, Tarzana, CA 91356-1351 | 2009-06-10 |
| 1083657258 | Longs Drug Stores California LLC | Pharmacy | 18441 Ventura Blvd, Tarzana, CA 91356-4201 | 2006-06-14 |
| 1700401627 | Rx Pharma Inc | Pharmacy | 18840 Ventura Blvd Ste 120, Tarzana, CA 91356-3301 | 2020-06-16 |
| 1356962385 | Providence Health System-southern California | Pharmacy | 18370 Burbank Blvd Ste 104, Tarzana, CA 91356-2804 | 2020-04-30 |
| 1861043069 | Dynamed, Inc. | Pharmacy | 19618 Ventura Blvd, Tarzana, CA 91356-2919 | 2019-09-28 |
| 1366989709 | Ldnr Pharmacy, Inc | Pharmacy | 5620 Wilbur Ave, Suite 100, Tarzana, CA 91356-1351 | 2017-01-24 |
| Find all providers in TARZANA | ||||
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| 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.