Organization Active NPI

Healthcare Enterprise LLC

  • Pharmacy
  • Hayward, CA
National Provider Identifier
1801857958
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY50187 Issued in CA
Legal business name
HEALTHCARE ENTERPRISE LLC
Doing business as
The Medicine Chest Pharmacy
Practice address
925 B St
Hayward, CA 94541-5109
Phone
(510) 538-9711
Fax
(510) 538-3204
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Authorized official

Name
Victoria Golunova
Title
Director
Phone
(415) 867-4177

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY50187 CA Primary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

925 B St
Hayward, CA 94541-5109

Mailing address

925 B St
Hayward, CA 94541-5109
Phone (510) 538-9711

Other identifiers 1

IdentifierTypeStateIssuer
0533782OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • The Medicine Chest Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

925 B St
Hayward, CA 94541
Phone (510) 538-9711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1801857958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 B ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945415109",
            "telephone_number": "510-538-9711",
            "fax_number": "510-538-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 B ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945415109",
            "telephone_number": "510-538-9711",
            "fax_number": "510-538-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "GOLUNOVA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-867-4177"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY50187",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0533782",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Chest Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.