WANBLEE INDIAN HEALTH CTR PHARMACY (NPI# 1174653752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174653752 |
| Entity Type | Organization |
| Organization Name | WANBLEE INDIAN HEALTH CTR PHARMACY |
| Other Organization Name | WANBLEE INDIAN HLTH CTR PHARMACY |
| Practice Address |
Highway 44 Wanblee SD 57577 |
| Mailing Address |
3120 Solutions Ctr Chicago IL 60677-3001 |
| Practice Telephone | 6054626155 |
| Practice Fax Number | 6054626551 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2013-03-07 |
| Authorized Official Name | JAMES CUMMINGS (PHARMACY PROGRAM SPECIALIST) |
| Authorized Official Telephone | 4059516086 |
| 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4304907 | 01 | |
| SD | 5540040 | 05 |
| Other Name | Type Code |
|---|---|
| WANBLEE INDIAN HLTH CTR PHARMACY | Doing Business As Name - Organization |
| Street Address |
HIGHWAY 44 |
| City | WANBLEE |
| State | SD |
| Zip Code | 57577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578979845 | Denise Kovach | Registered Nurse | 210 1 St Street, Wanblee, SD 57577 | 2014-07-08 |
| 1427297266 | Jaimee Allisen Mcguire | Nurse Practitioner | 210 1st Street, Wanblee, SD 57577 | 2009-02-18 |
| 1639132533 | George Edward Starr | Physician Assistant | Wanblee Health Center, 210 First Street, Wanblee, SD 57577 | 2006-04-11 |
| 1225005473 | Brent L Barker | Dentist | 210 1st., Wanblee, SD 57577 | 2006-03-07 |
| 1750358354 | Suzanne Marie England | Advanced Practice Midwife | 1000 Health Care Way, Wanblee, SD 57577 | 2006-03-02 |
| 1003184607 | Dwan Renee Kendrick | Registered Nurse | 210 First Street, Wanblee, SD 57577 | 2011-12-09 |
| 1548444862 | Pine Ridge Indian Health Service | Clinic/Center | 210 1st St, Wanblee, SD 57577 | 2007-12-21 |
| 1174736664 | Margaret Ellyn Musselman | Nurse Practitioner | 210 First Street, Wanblee, SD 57577 | 2007-05-08 |
| 1770850299 | Wanblee Health Center | Clinic/Center | 210 First St., Wanblee, SD 57577-0290 | 2011-11-29 |
| 1568622140 | Wanblee Health Center | Clinic/Center | 210 First St, Wanblee, SD 57577-0290 | 2008-06-17 |
| Find all providers in zip 57577 | ||||
| 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 |
|---|---|---|---|---|
| 1093845653 | Mclaughlin Ihs Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 701 East 6th St, Mclaughlin, SD 57642-0879 | 2007-03-06 |
| 1053441626 | Rosebud Ihs Hospital Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy 18 400 Soldier Creek Rd, Rosebud, SD 57570 | 2007-03-06 |
| 1184753147 | Lower Brule Ihs Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1 Clinic Blvd, Lower Brule, SD 57548 | 2007-03-05 |
| 1033248059 | Fort Thompson Ihc Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy 47 and Hwy 34, Fort Thompson, SD 57339 | 2007-03-05 |
| 1720117740 | Kyle Ihs Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1000 Health Center Circle, Kyle, SD 57752 | 2007-03-05 |
| 1790815363 | Pine Ridge Ihs Hospital Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Highway 18 East, Pine Ridge, SD 57770 | 2007-03-06 |
| 1548390115 | Wagner Indian Health Care Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2007-03-06 |
| 1184753337 | Rapid City Indian Health Service | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2007-03-05 |
| 1801925060 | Sisseton Wahpeton Oyate Healthcare Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2007-03-05 |
| 1770610842 | Eagle Butte Ihs Hospital Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 317 Main St, Eagle Butte, SD 57625 | 2007-02-27 |
| Find all providers with the same taxonomy | ||||
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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.