Hi-Desert Medical Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

54564 Issued in CA

Legal business name

HI-DESERT MEDICAL PHARMACY INC

Practice address

1002 E Ave J, Unite E-1
Lancaster, CA 93535-3870

Phone

(661) 802-7601

Fax

(661) 802-7611

NPI assigned

Feb 1, 2017

Organization subpart

No

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

Authorized official

Name

Prince Mensah

Title

Pharmacist-in-Charge

Phone

(646) 468-2765

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• HI-DESERT MEDICAL PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1477091288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 E AVE J, UNITE E-1",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935353870",
            "telephone_number": "661-802-7601",
            "fax_number": "661-802-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 E AVE J, UNITE E-1",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935353870",
            "telephone_number": "661-802-7601",
            "fax_number": "661-802-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HI-DESERT MEDICAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "MENSAH",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "646-468-2765"
    },
    "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": "54564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168278",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HI-DESERT MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HI-DESERT MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Obdulia Herrera
• Jeannine Herron
• Siamak Heshmati, MD
• Christopher Stephen Hext, PTA
• Cameron Heydari, DDS
• Cecelia Hibbert
• Linda A. Hicks, CCC-SLP
• Sonja Hicks, MS
• Diana T Hidalgo
• High Desert Counseling Services

• Community/Retail Pharmacy in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.