Miracle Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MIRACLE PHARMACY INC.

Doing business as

West Vern Pharmacy

Practice address

2490 Honolulu Ave # 140B
Montrose, CA 91020-1800

Phone

(818) 642-3034

NPI assigned

May 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anait Danielian

Title

President

Phone

(818) 642-3034

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Vern Pharmacy Doing business as

Tax ID family

Ampm Home Health Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ampm Home Health Agency

  • Home Health Agency
  • Glendale, CA
  • NPI 1558697664
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063622298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 HONOLULU AVE # 140B",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201800",
            "telephone_number": "818-642-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 HONOLULU AVE # 140B",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201800",
            "telephone_number": "818-642-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANIELIAN",
        "authorized_official_first_name": "ANAIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-642-3034"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA460660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Vern Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medfort Home Health Services, Inc.
• Anna Mekikyan, M.D
• Millennium Healthcare Services, Inc.
• Brian Patrick Miller, DC
• Riley Jameson Miller, DC
• Miracle Pharmacy Inc.
• Mirror Touch Home Health Inc.
• Shirley Christine Mirzaian, MS RD
• Sarine Mirzakhanian
• Christina Mitchell, CHRISTINA MITCHELL

• Community/Retail Pharmacy in Montrose, CA
• Providers in Montrose, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.