PAWHUSKA IHS PHARMACY (NPI# 1952303190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952303190 |
Entity Type | Organization |
Organization Name | PAWHUSKA IHS PHARMACY |
Other Organization Name | PAWHUSKA IHS PHARMACY |
Practice Address |
715 Grandview Ave Pawhuska OK 74056-3201 |
Mailing Address |
Po Box 676748 Dallas TX 75267-6748 |
Practice Telephone | 9182874491 |
Practice Fax Number | 9182872347 |
Enumeration Date | 2005-06-01 |
Last Update Date | 2013-03-11 |
Authorized Official Name | TRACIE PATTEN (AREA PHARMACY CONSULTANT) |
Authorized Official Telephone | 4059516035 |
Authorized Official Credential | PHARMD |
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 | 162939 | OK | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 3717925 | 01 | |
OK | 100231960F | 05 |
Other Name | Type Code |
---|---|
PAWHUSKA IHS PHARMACY | Doing Business As Name - Organization |
Street Address |
715 GRANDVIEW AVE |
City | PAWHUSKA |
State | OK |
Zip Code | 74056-3201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740888635 | Cori Lynn Butler | Pharmacist | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2020-10-13 |
1235737214 | Malorie Denise Pease | Pharmacist | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2020-10-13 |
1306473137 | Elizabeth Rae Hovey | Pharmacist | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2020-03-23 |
1174158638 | Orele Shananae Ferguson | Registered Nurse | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2020-03-05 |
1497211619 | Amy Odessa Brown | Dental Hygienist | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2019-02-12 |
1821561465 | Julie Free | Dietitian, Registered | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2019-01-07 |
1013433655 | Harmony Michelle Revard Fuller | Social Worker | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2017-08-15 |
1851824965 | Cherri Lawlis | Nurse Practitioner | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2017-04-05 |
1518337542 | Janette L Dunn | Social Worker | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2015-10-02 |
1568839470 | Osage Nation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2015-08-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033765227 | Heather N Barkley | Case Manager/Care Coordinator | 1616 Mckenzie Road, Pawhuska, OK 74056 | 2019-08-13 |
1871092494 | Pawhuska Hospital Inc | Clinic/Center | 1109 E 15th St, Pawhuska, OK 74056 | 2018-02-09 |
1043618572 | Dagenais & Associates Medical Clinic, LLC | Physician Assistant | 137 East Main, Pawhuska, OK 74056 | 2014-12-16 |
1659615904 | Osage Nation | Community/Behavioral Health | 126 6th Street, Pawhuska, OK 74056 | 2012-11-26 |
1366707481 | Louis G Gray I | Counselor | 1011 Grandview, Pawhuska, OK 74056 | 2012-07-05 |
1205096427 | Eric A Amberson | Emergency Medicine | 230 E. 5th Street, Pawhuska, OK 74056 | 2008-06-11 |
1407030356 | Angels Health Care Clinic Inc | Clinic/Center | 47922 St Hwy 99, Pawhuska, OK 74056 | 2007-12-27 |
1871795740 | Help Works, Inc | Day Training, Developmentally Disabled Services | 219 Lincoln, Pawhuska, OK 74056 | 2007-06-04 |
1639205628 | William Franklin Pendley | Counselor | Edwin Fair Cmhc 515 Old Hyw 99, Pawhuska, OK 74056 | 2007-02-26 |
1265591416 | Gemini Medical Group | Family Medicine | 701 Leahy, Pawhuska, OK 74056 | 2006-12-06 |
Find all providers in zip 74056 |
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 |
---|---|---|---|---|
1568839470 | Osage Nation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2015-08-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639472970 | Carnegie Indian Health Clinic | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 212 E. 4th St, Carnegie, OK 73015 | 2010-12-08 |
1568512374 | Wewoka Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Intersection of Hwy 56 and 270, Wewoka, OK 74884 | 2007-01-12 |
1316097389 | Anadarko Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 115 Ne Old Town Rd, Anadarko, OK 73005-5009 | 2007-01-11 |
1538219431 | El Reno Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1801 Parkview Drive, El Reno, OK 73632 | 2007-01-11 |
1871663203 | Sac & Fox Nation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2006-11-09 |
1699790543 | Li-si-wi-nwi Health, Inc | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 15951 Little Axe Drive, Norman, OK 73026-9001 | 2006-07-13 |
1295142115 | Choctaw Nation of Oklahoma | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1801 Chukka Hina, Durant, OK 74701 | 2014-07-14 |
1598053993 | Citizen Potawatomi Nation West Clinic | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 | 2011-07-19 |
1891999157 | White Eagle Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 200 White Eagle Drive, Ponca City, OK 74601 | 2007-06-12 |
1215052675 | Chickasaw Nation Division of Health | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1007 N Country Club Rd, Ada, OK 74820-2847 | 2007-03-21 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on PAWHUSKA IHS PHARMACY.
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.