Miravida Living
NPI 1700874591 · Long Term Care Pharmacy · Oshkosh, WI
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Miravida Living is a Long Term Care Pharmacy organization in Oshkosh, WI (NPI 1700874591).
Provider details
- NPI number
- 1700874591
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Barry Brewer, Director of Pharm Services(920) 966-1345
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
89 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Admn Sarscov2 Vacc 1 Dose90480 | 56 | $39 |
| Administration of Influenza Virus VaccineG0008 | 33 | $30 |
Typical Medicare-allowed amounts for these services range $30–$39 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lho Pharmacy LLC
Registry dates
- Enumerated
- 2005-10-06
- Last updated
- 2018-07-19
Frequently asked questions
- What is Miravida Living's NPI number?
- Miravida Living's National Provider Identifier (NPI) is 1700874591, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Miravida Living?
- Miravida Living is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Miravida Living located?
- Miravida Living's practice location on file with NPPES is 225 N Eagle St, Oshkosh, WI 54902-4125.
- What is Miravida Living's phone number?
- The practice phone number listed in the NPPES registry for Miravida Living is (920) 966-1345.
- Does Miravida Living accept Medicare?
- Miravida Living is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Miravida Living?
- The authorized official listed on Miravida Living's NPPES record is Barry Brewer, Director of Pharm Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Miravida Living's NPI active?
- Yes — Miravida Living's NPI (1700874591) is active in the NPPES registry as of the last update on 2018-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.