Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miguel Rivera III

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1699519793

Miguel Rivera III is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fort Wayne, Indiana. Licensed in Indiana and Texas. Registered with an NPI since 2024.

Licensed in
IN, TX
In the registry since
2024
Specialties on file
2

Practice location Address checks out

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone: (260) 266-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 26030725A (IN)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Taxonomy 1835P0018X · Licence 71369 (TX)

Record details

NPI number1699519793
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 24, 2024
Last updated in NPPESJune 24, 2024
Certification dateJune 23, 2024
Mailing address490 Bonterra Blvd Apt 10-202, Fort Wayne, IN 46845-0067

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