Active NPI
Lucia J Mijares, RPH
- Pharmacist
- American Canyon, CA
National Provider Identifier
1053694554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 57798
- Practice address
- 127 Summerwood Drive
American Canyon, CA 94503 - Phone
- (707) 853-7527
- NPI assigned
- Sep 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 57798 | CA | Primary |
Addresses
Primary practice location
127 Summerwood Drive
American Canyon, CA 94503
Mailing address
127 Summerwood Dr
American Canyon, CA 94503-3180
Phone (707) 853-7527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57798 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1053694554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 SUMMERWOOD DR",
"city": "AMERICAN CANYON",
"state": "CA",
"postal_code": "945033180",
"telephone_number": "707-853-7527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 SUMMERWOOD DRIVE",
"city": "AMERICAN CANYON",
"state": "CA",
"postal_code": "94503",
"telephone_number": "707-853-7527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIJARES",
"first_name": "LUCIA",
"middle_name": "J",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "57798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in American Canyon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.