Active NPI
Highland Valley Enterprise Inc
- Community/Retail Pharmacy
- El Cajon, CA
National Provider Identifier
1285676858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY43165
- Legal business name
- HIGHLAND VALLEY ENTERPRISE INC
- Doing business as
- MEDCO DRUGS
- Practice address
- 1252 Broadway
El Cajon, CA 92021-4901 - Phone
- (619) 440-3448
- Fax
- (619) 440-3341
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Schmidt, RPH
- Title
- Owner
- Phone
- (619) 440-3448
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY43165 | CA | Primary |
Addresses
Primary practice location
1252 Broadway
El Cajon, CA 92021-4901
Mailing address
1252 Broadway
El Cajon, CA 92021-4901
Phone (619) 440-3448
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2005321 | Other | PK | |
| PHA349700 | Medicaid | CA |
Other names 1
- MEDCO DRUGS
National Provider Directory
National Provider DirectoryLocations
1252 Broadway
El Cajon, CA 92021
Phone (619) 295-9466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465776000000",
"number": "1285676858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1252 BROADWAY",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920214901",
"telephone_number": "619-440-3448",
"fax_number": "619-440-3341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1252 BROADWAY",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920214901",
"telephone_number": "619-440-3448",
"fax_number": "619-440-3341"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLAND VALLEY ENTERPRISE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2016-06-13",
"status": "A",
"authorized_official_last_name": "SCHMIDT",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-440-3448",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY43165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2005321",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA349700",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDCO DRUGS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.