Organization · Type 2 NPI

Sycuan Tribal Government

Community/Retail Pharmacy · El Cajon, CA

NPI number 1164553053 Active

Practice location

4921 Dehesa Rd
El Cajon, CA 92019-2929

Fax (619) 445-0901

Specialties and licenses

Taxonomy	Code	License
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PHE39873 (CA)

Community/Retail Pharmacy: 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 …

9 other providers at this address

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NPI record

NPI: 1164553053
Entity type: Organization (Type 2)
Issued: Mar 9, 2007
Last updated: Feb 13, 2026
Status: Active

Other names

<unavail>
Sycuan Health Center Pharmacy · doing business as
Sycuan Medical Dental Pharmacy · doing business as

Authorized official

Maurice Smith
Executive Director
(619) 445-0707

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164553053

Sycuan Tribal Government's National Provider Identifier is 1164553053, issued on Mar 9, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in El Cajon, CA. The record was last updated on Feb 13, 2026.