YERINGTON TRIBAL CLINIC PHARMACY (NPI# 1538298773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538298773 |
| Entity Type | Organization |
| Organization Name | YERINGTON TRIBAL CLINIC PHARMACY |
| Practice Address |
171 Campbell Ln Yerington NV 89447-9731 |
| Practice Telephone | 7754633335 |
| Practice Fax Number | 7754632416 |
| Mailing Telephone | 7754633335 |
| Mailing Fax Number | 7754632416 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2013-03-27 |
| Authorized Official Name | MR. DELMAR THURMAN STEVENS (TRIBAL CHAIRMAN) |
| Authorized Official Telephone | 7754633301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PHARMACY DEA | AW1555210 | 01 | |
| NCPDP NUMBER | 2978697 | 01 |
| Street Address |
171 CAMPBELL LN |
| City | YERINGTON |
| State | NV |
| Zip Code | 89447-9731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871563874 | Deborah Shindell | Nurse Practitioner | 171 Campbell Ln, Yerington, NV 89447-9731 | 2006-01-24 |
| 1245853936 | Rachel Johnson | Registered Nurse | 171 Campbell Ln, Yerington, NV 89447-9768 | 2020-05-28 |
| 1053824722 | Brigitte Peterson | Physician Assistant | 171 Campbell Ln, Yerington, NV 89447-9768 | 2017-11-15 |
| 1477088722 | Yerington Paiute Tribal Council | Clinic/Center | 171 Campbell Ln, Yerington, NV 89447-9768 | 2017-04-25 |
| 1902273816 | Katherine Vaughan | Registered Nurse | 171 Campbell Ln, Yerington, NV 89447-9768 | 2015-08-26 |
| 1750529467 | Irene May Best | Nurse Practitioner | 171 Campbell Ln, Yerington, NV 89447-9731 | 2009-02-03 |
| 1699948331 | Ellen Marlene Mamolen | Nurse Practitioner | 171 Campbell Ln, Yerington, NV 89447-9731 | 2008-04-02 |
| 1487786208 | Emma D Allen | Clinical Medical Laboratory | 171 Campbell Ln, Yerington, NV 89447-9731 | 2007-03-09 |
| 1780713610 | Joseph Lee Dibble | Clinic/Center | 171 Campbell Ln, Yerington, NV 89447-9731 | 2007-03-05 |
| 1376670042 | Carmela M Cipollina | General Practice | 171 Campbell Ln, Yerington, NV 89447-9768 | 2007-02-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124492657 | Kristina F Homan | Counselor | 720 Main St., Suite C, Yerington, NV 89447 | 2015-11-20 |
| 1871895672 | Josef Carrol Masini | Rehabilitation Practitioner | 230 State Route 208, Yerington, NV 89447 | 2010-11-30 |
| 1508185539 | Rural Nevada Counseling Rnc | Counselor | 720 S. Main St., Suite C, Yerington, NV 89447 | 2010-06-01 |
| 1164661484 | Richard Klain | Counselor | 405 Kathy Avenue, Yerington, NV 89447 | 2009-02-10 |
| 1033288329 | Bruce Gregory Vogel | General Practice | 171 Campbell Lane, Yerington, NV 89447 | 2006-11-08 |
| 1992155519 | Jill Marie Seely | Counselor | 720 S. Main St., Suite C, Yerington, NV 89447 | 2016-06-14 |
| 1174917173 | Charles Daniel Graham | Internal Medicine | 213 S Whitacre St, Yerington, NV 89447 | 2015-03-27 |
| 1669720264 | Kathryn Marie Fawcett | Registered Nurse | 1025 Hospital Road, Schurz, NV 89447 | 2012-08-29 |
| 1902190333 | Rachele Reber Bobrick | Physical Therapist | 513 W Bridge St, Ste E, Yerington, NV 89447 | 2011-06-02 |
| 1659447688 | Healthy Smiles Family Dentistry Inc | Dentist | 120 Bovard St, Yerington, NV 89447 | 2006-11-28 |
| Find all providers in zip 89447 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154952380 | Te-moak Tribe of Western Shoshone | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 525 Sunset St, Elko, NV 89801-2539 | 2020-01-27 |
| 1053858480 | Acrx Specialty Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3200 Soaring Gulls Dr Ste 101, Las Vegas, NV 89129-2198 | 2017-01-24 |
| 1356556682 | Walker River Tribal Health Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2 Hospital Rd, Schurz, NV 89427 | 2007-05-11 |
| 1760967665 | Pyramid Lake Indian Health Service Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 705 Highway 446, Nixon, NV 89424 | 2018-09-27 |
| 1518416577 | Public Health Service Ihs Mcdermitt Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 112 North Reservation Road, Mcdermitt, NV 89421 | 2016-09-30 |
| 1770790792 | Pyramid Lake Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 705 Hwy 446, Nixon, NV 89424 | 2007-05-17 |
| 1932237229 | Pyramid Lake Paiute Tribe | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 705 Hwy. 446, Nixon, NV 89424 | 2007-03-01 |
| 1336274646 | Reno-sparks Tribal Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1715 Kuenzli St, Reno, NV 89502-1117 | 2007-02-23 |
| 1114052198 | Fallon Tribal Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1001 Rio Vista St, Fallon, NV 89406-5463 | 2007-02-22 |
| 1629113881 | Dhhs Ihs Phoenix Area | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 515 Shoshone Cir, Elko, NV 89801-5072 | 2007-02-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.