Individual provider Active NPI

Michael Charles Rognon, PHARMD

  • Pharmacist
  • Bountiful, UT
National Provider Identifier
1457646952
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5951885-1701 Issued in UT
Practice address
390 N Main St
Bountiful, UT 84010
Phone
(801) 397-6360
Fax
(801) 397-6369
NPI assigned
Jun 13, 2011
Last updated
Apr 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5951885-1701 UT Primary

Addresses

Primary practice location

390 N Main St
Bountiful, UT 84010

Mailing address

390 N Main St
Bountiful, UT 84010-6046
Phone (801) 397-6360

Other practice location 1

1135 W Riverdale Rd
Riverdale, UT 84405-3722
Phone (801) 392-4772

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5951885-1701UTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1457646952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 N MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106046",
            "telephone_number": "801-397-6360",
            "fax_number": "801-397-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 N MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "84010",
            "telephone_number": "801-397-6360",
            "fax_number": "801-397-6369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 W Riverdale Rd",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "UT",
            "postal_code": "844053722",
            "country_code": "US",
            "telephone_number": "801-392-4772",
            "fax_number": "801-392-4772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGNON",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "5951885-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.