Carlos Augusto Mijares, PHARMACY INTERN

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

7210693-1702 Issued in UT

Practice address

10920 River Front Pkwy
South Jordan, UT 84095-3538

Phone

(801) 302-2600

NPI assigned

Nov 9, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1578864369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 S 1400 E",
            "address_2": "C/O MARK DALLIN",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846609704",
            "telephone_number": "801-787-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 RIVER FRONT PKWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953538",
            "telephone_number": "801-302-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIJARES",
        "first_name": "CARLOS",
        "middle_name": "AUGUSTO",
        "credential": "PHARMACY INTERN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "UT",
            "license": "7210693-1702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midas Creek Home Health LLC
• Midas Creek Home Health, LLC
• Jennifer Lynne Middleton, LCMHC
• Lydia Midgley, LCSW
• Wendy Midgley, PA
• Donald Robert Miller, D.C.
• John D. Miller, D.M.D.
• Julie Jenee Miller, MSWI
• Kaylor Miller, LMT
• Kristie S Miller, RN

• Student in an Organized Health Care Education/Training Program in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Student in an Organized Health Care Education/Training Program in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.