MR. JUSTIN TYLER MIRACLE
NPI 1497354880
Pharmacist in Corvallis, OR

NPI Status: Active since October 18, 2020

Contact Information

777 NW KINGS BLVD
CORVALLIS, OR
ZIP 97330
Phone: (541) 754-5583

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  • Individual
  • Male
  • Pharmacist

About JUSTIN MIRACLE

This page provides the complete NPI Profile along with additional information for Justin Miracle, a provider established in Corvallis, Oregon with a medical specialization in Pharmacist. The healthcare provider is registered in the NPI registry with number 1497354880 assigned on October 2020. The practitioner's primary taxonomy code is 183500000X with license number RPH0018483 (OR). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1497354880
Provider Name
MR. JUSTIN TYLER MIRACLE
Gender
Male
Entity Type
Individual
Location Address
777 NW KINGS BLVD CORVALLIS, OR 97330
Location Phone
(541) 754-5583
Mailing Address
777 NW KINGS BLVD CORVALLIS, OR 97330
Mailing Phone
(503) 877-4430
Is Sole Proprietor?
No
Enumeration Date
10-18-2020
Last Update Date
11-15-2023
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A pharmacist like Justin Miracle fills prescription medications, verifying instructions from physicians and offers expertise in the safe use of prescriptions. Pharmacists instruct patients on how to take a prescribed medicine and educate patients about potential side effects. Pharmacists might also conduct health and wellness screenings, provide immunizations, oversee the medications given to patients, and provide advice on healthy lifestyles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacist

Taxonomy Code
183500000X
Type
Pharmacy Service Providers
License No.
RPH0018483
License State
OR
Taxonomy Description
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

PI-0013024 (OR)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497354880
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187658816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 6 + 5 + 8 + 8 + 1 + 6 + 24 = 80
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1497354880 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902170723 LINDA MARIE ACIDERA RPH
Individual
Pharmacist777 NW KINGS BLVD
CORVALLIS, OR 97330
(541) 754-5583
1285679357FRED MEYER STORES INC
Organization
Pharmacy (Community/Retail Pharmacy)777 NW KINGS BLVD
CORVALLIS, OR 97330
(541) 753-9106
1013239813MR. MARSHALL R. THOMPSON RPH
Individual
Pharmacist777 NW KINGS BLVD
CORVALLIS, OR 97330
(541) 754-5583
1154695633 LIZAPHOR J LITTLE PHARM.D.
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)777 NW KINGS BLVD
CORVALLIS, OR 97330
(541) 754-5583
1497029862 BARBARA ANNE FOSTER-MACAL RPH
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)777 NW KINGS BLVD
CORVALLIS, OR 97330
(541) 754-5583
1548697055DR. IAN G STEVENS PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)777 NW KINGS BLVD
CORVALLIS, OR 97330
(541) 754-5583
1104586627 MARIO ZIVANOVIC PHARMD
Individual
Pharmacist777 NW KINGS BLVD
CORVALLIS, OR 97330
(541) 754-5583

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497354880, enumerated in the NPI registry as an "individual" on October 18, 2020

The provider is located at 777 Nw Kings Blvd Corvallis, Or 97330 and the phone number is (541) 754-5583

The provider's speciality is Pharmacist with taxonomy code 183500000X

This NPI record was last updated on October 18, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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