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HIDDEN VALLEY PHARMACY
NPI 1790806602
Pharmacy - Community/Retail Pharmacy in Hidden Valley Lake, CA

Active since April 02, 2007
19851 HARTMANN ROAD, SUITE C, HIDDEN VALLEY LAKE, CA 95467(707) 987-3995(707) 987-3120 Get Directions Write a Review

NPPES record last updated: March 27, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hidden Valley Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HIDDEN VALLEY PHARMACY (NPI 1790806602) is a healthcare organization registered as a community/retail pharmacy in Hidden Valley Lake, California and active in the NPI registry since April 2007. The organization lists Michael Maravich, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1790806602
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMARVICH ENTERPRISES, LLC
Location Address19851 HARTMANN ROAD, SUITE CHidden Valley Lake, CA 95467
Mailing Address19851 Hartmann Road, Suite CHidden Valley Lake, CA 95467 · (707) 987-3995 · Fax (707) 987-3120
Phone(707) 987-3995
Fax(707) 987-3120
Organization SubpartNo
Authorized OfficialMichael MaravichManaging Member · (707) 900-1524
Enumeration DateApril 2, 2007
Last NPPES UpdateMarch 27, 2013
✔ NPI 1790806602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY45680
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
19851 HARTMANN ROAD, Hidden Valley Lake, CA 95467
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Other Names 1

Doing Business AsHidden Valley Pharmacy

Other Identifiers 2

OtherPHY45680CA · State Phcy License
MedicaidPHA456800CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marvich Enterprises, LLC's NPI number?

The NPI number for Marvich Enterprises, LLC is 1790806602. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider is doing business as Hidden Valley Pharmacy.

Where is Marvich Enterprises, LLC located?

Marvich Enterprises, LLC is located at 19851 Hartmann Road Suite C, Hidden Valley Lake, CA 95467. The listed phone number is (707) 987-3995.

What is Marvich Enterprises, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Marvich Enterprises, LLC was last updated on March 27, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.