Maravich Enterprises
NPI 1790116861 · Community/Retail Pharmacy · Hidden Valley Lake, CA
Maravich Enterprises is a Community/Retail Pharmacy organization in Hidden Valley Lake, CA (NPI 1790116861).
Provider details
- NPI number
- 1790116861
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Michael Maravich, Managing Member(707) 987-3995
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Hidden Valley Pharmacy
Registry dates
- Enumerated
- 2013-11-27
- Last updated
- 2015-08-04
Frequently asked questions
- What is Maravich Enterprises's NPI number?
- Maravich Enterprises's National Provider Identifier (NPI) is 1790116861, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maravich Enterprises?
- Maravich Enterprises is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Maravich Enterprises located?
- Maravich Enterprises's practice location on file with NPPES is 19851 Hartmann Rd, Hidden Valley Lake, CA 95467-8307.
- What is Maravich Enterprises's phone number?
- The practice phone number listed in the NPPES registry for Maravich Enterprises is (707) 987-3995.
- Who is the authorized official for Maravich Enterprises?
- The authorized official listed on Maravich Enterprises's NPPES record is Michael Maravich, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maravich Enterprises's NPI active?
- Yes — Maravich Enterprises's NPI (1790116861) is active in the NPPES registry as of the last update on 2015-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.