Individual provider Active NPI

James Arthur Mildenberger

  • Pharmacist
  • Sterling, CO
National Provider Identifier
1376107508
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9748 Issued in CO
Practice address
1510 W Main St
Sterling, CO 80751-9095
Phone
(970) 522-8340
NPI assigned
Apr 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9748 CO Primary

Addresses

Primary practice location

1510 W Main St
Sterling, CO 80751-9095

Mailing address

1308 S 11TH Ave
Sterling, CO 80751-4427
Phone (970) 522-4516

Other names 1

  • James Arthur Mildenberger Other name

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

State licenses

LicenseStateTypeSpecialty
9748COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1376107508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 S 11TH AVE",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514427",
            "telephone_number": "970-522-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 W MAIN ST",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807519095",
            "telephone_number": "970-522-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILDENBERGER",
        "first_name": "JAMES",
        "middle_name": "ARTHUR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "9748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "MILDENBERGER",
            "middle_name": "ARTHUR",
            "credential": "PHARMACIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sterling, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.