MIJARES MEDICAL SUPPLY LLC (NPI# 1023425014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023425014 |
| Entity Type | Organization |
| Organization Name | MIJARES MEDICAL SUPPLY LLC |
| Practice Address |
3276 Buford Dr Ste 104-333 Buford GA 30519-5702 |
| Practice Telephone | 4044362070 |
| Practice Fax Number | 8775482685 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |
| Authorized Official Name | RUEL MIJARES BAUTISTA JR. (CEO) |
| Authorized Official Telephone | 4044362070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
3276 BUFORD DR STE 104-333 |
| City | BUFORD |
| State | GA |
| Zip Code | 30519-5702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154880763 | Walter Kalenik | Physical Therapist | 3694 Lake Rabun Ct, Buford, GA 30519 | 2019-03-14 |
| 1083127500 | Bunmi Yemisi Folarinde | Nurse Practitioner | 3616 S Bogan Rd Ste 202, Buford, GA 30519 | 2017-11-06 |
| 1124546817 | Jenny Chang | Pharmacist | 2635 General Lee Way, Buford, GA 30519 | 2017-09-02 |
| 1588181853 | Vincent Spencer | Nurse Practitioner | 2128 Mill Garden Run, Buford, GA 30519 | 2017-08-27 |
| 1225567597 | Vincentia Paul-constantin | Clinic/Center | 2867 Country House Lane, Buford, GA 30519 | 2017-06-08 |
| 1043668361 | Jacob Matthew Minor | Chiropractor | 2725 Hamilton Rd, Ste 500, Buford, GA 30519 | 2016-05-26 |
| 1477910941 | Nicole Camp | Nurse Practitioner | 2725 Mall of Georgia Blvd, Buford, GA 30519 | 2016-01-28 |
| 1235519240 | Moyra Renee Betuzzi-teas | Obstetrics & Gynecology | 2527 Mall of Georgia Blvd, Buford, GA 30519 | 2015-06-04 |
| 1104250950 | Coyette Annisee Telemaque | Nurse Practitioner | 3331 Hamilton Mill Rd Ste 1102, Buford, GA 30519 | 2013-08-29 |
| 1649552134 | Indira Ashok Patel | Physical Medicine & Rehabilitation | 2839 Hidden Falls Drive, Buford, GA 30519 | 2011-09-12 |
| Find all providers in zip 30519 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801430111 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 4108 Hamilton Mill Rd, Buford, GA 30519-3914 | 2019-10-30 |
| 1215472865 | Arthur Wardell | Durable Medical Equipment & Medical Supplies | 6055 Lake Windsor Pkwy, Buford, GA 30518-7319 | 2017-01-05 |
| 1235689969 | Helping Hands Home Medical | Durable Medical Equipment & Medical Supplies | 5207 Belle Wood Ct, Suite 400, Buford, GA 30518-5883 | 2016-10-05 |
| 1437576568 | Blue Water Medical, Inc. | Durable Medical Equipment & Medical Supplies | 922 Gainesville Hwy, Suite 112, Buford, GA 30518-1642 | 2014-03-26 |
| 1578827168 | Tonnek Holding Company | Durable Medical Equipment & Medical Supplies | 6125 Park Leaf Walk, Buford, GA 30518-7265 | 2012-06-27 |
| 1386911311 | Lifestyles First Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 924 Gainesville Hwy Ste 230, Buford, GA 30518-1639 | 2011-11-18 |
| 1659696235 | Progressive Medical Concepts, LLC | Durable Medical Equipment & Medical Supplies | 5020 B U Bowman Dr, Suite 600, Buford, GA 30518-5845 | 2010-04-07 |
| 1982934329 | Merrittnet, Inc. | Durable Medical Equipment & Medical Supplies | 3561 Hanover Dr, Buford, GA 30519-4353 | 2010-01-07 |
| 1164605630 | Georgia Cvs Pharmacy, L. L. C. | Durable Medical Equipment & Medical Supplies | 2605 Hamilton Mill Rd, Buford, GA 30519 | 2007-12-07 |
| 1376753855 | Pie Medical International, Inc. | Durable Medical Equipment & Medical Supplies | 2713 Brickton North Drive, Buford, GA 30518 | 2007-05-23 |
| Find all providers in BUFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.