Organization Active NPI

Highland Valley Enterprise Inc

  • Community/Retail Pharmacy
  • El Cajon, CA
National Provider Identifier
1285676858
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY43165 Issued in CA
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

Updated by the provider on Jun 13, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2005321OtherPK
PHA349700MedicaidCA

Other names 1

  • MEDCO DRUGS Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.