Alta View Health Care LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ALTA VIEW HEALTH CARE LLC

Doing business as

The Medicine Shoppe

Practice address

296 H St Ste 103
Chula Vista, CA 91910-4779

Phone

(619) 470-4550

Fax

(619) 470-6709

NPI assigned

Feb 6, 2007

Last updated

Jan 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Amjad Abdelqader a Alqazqi

Title

Managing Member

Phone

(858) 250-9623

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• The Medicine Shoppe Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Alta View Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alta View Health Care LLC

  dba The Medicine Shoppe

  • Community/Retail Pharmacy
  • San Diego, CA
  • NPI 1518534189
  NPD tax ID

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1851430805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 H ST STE 103",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104779",
            "telephone_number": "619-470-4550",
            "fax_number": "619-470-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 H ST STE 103",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104779",
            "telephone_number": "619-470-4550",
            "fax_number": "619-470-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA VIEW HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "ALQAZQI",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_middle_name": "ABDELQADER A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "858-250-9623",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "55851",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851430805",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0597700",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Karen Elizabeth Alvarado Alvarado, LMFT#150504
• Hazel Aracel Alvarado Soto
• Andrea Alvarado
• Carolina Alvarado

• Community/Retail Pharmacy in Chula Vista, CA
• Providers in Chula Vista, 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 Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.