Miravida Living
Miravida Living is a healthcare organization registered as Long Term Care Pharmacy in Oshkosh, WI, holding Type 2 (organization) NPI 1700874591 since 2005. The authorized official on file is Barry Brewer, Director of Pharm Services.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1700874591 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Miravida Living |
| Other name | <Unavail> |
| Practice address | 225 N EAGLE ST, Oshkosh, WI, 54902 |
| Phone | 9209661345 |
| Fax | 9209661285 |
| Enumeration date | 2005-10-06 |
| Last updated in NPPES | 2018-07-19 |
Authorized official
| Name | Barry Brewer |
|---|---|
| Title | Director of Pharm Services |
| Phone | 9209661345 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 3336L0003X | Long Term Care Pharmacy | Primary | 827342 | WI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2110060 | Other | — | PK |
| 33267400 | Medicaid | WI | — |
Copy-ready billing details
Provider: Miravida Living NPI: 1700874591 Taxonomy: 3336L0003X (Long Term Care Pharmacy) Address: 225 N EAGLE ST, Oshkosh, WI, 54902
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1124081229 | Bethel Home, Inc. | Organization | Skilled Nursing Facility | Oshkosh, WI |
| 1639434483 | Barry Brewer | Individual | Pharmacist | Oshkosh, WI |
| 1952841504 | Malery Robl | Individual | Occupational Therapy Assistant | Oshkosh, WI |
| 1629960026 | Maddix Bartz | Individual | Speech-Language Pathologist | Oshkosh, WI |
Verify this record
Cross-check NPI 1700874591 against the authoritative CMS record: view Miravida Living on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Miravida Living?
What is the NPI number for Miravida Living?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-07-19.