HUHUKAM MEMORIAL HOSPITAL PHARMACY (NPI# 1235268947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235268947 |
Entity Type | Organization |
Organization Name | HUHUKAM MEMORIAL HOSPITAL PHARMACY |
Other Organization Name | GILA RIVER HEALTHCARE CORPORATION |
Practice Address |
483 W Seed Farm Rd Sacaton AZ 85247 |
Mailing Address |
483 W Seed Farm Rd Po Box 38 Sacaton AZ 85247 |
Practice Telephone | 6025281229 |
Practice Fax Number | 6025281262 |
Mailing Telephone | 6025281229 |
Mailing Fax Number | 6025281262 |
Enumeration Date | 2007-03-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MEENA BHARGAVA (PHARMACY DIRECTOR) |
Authorized Official Telephone | 6025281200 |
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 NUMBER | BH0322672 | 01 | |
NCPDP NUMBER | 0322672 | 01 |
Other Name | Type Code |
---|---|
Gila River Healthcare Corporation | Other Name - Individual/Organization |
Street Address |
483 W SEED FARM RD |
City | SACATON |
State | AZ |
Zip Code | 85247 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649266883 | Karin B Fisk | Nurse Practitioner | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2005-09-22 |
1639786890 | Juliandra Bailon | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-09-30 |
1922624535 | Joyce Mary Blair | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-06-19 |
1881219095 | Olivia Rae Hoylman | Optometrist | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-06-12 |
1225652050 | Sarah David | Optometrist | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-06-08 |
1962026906 | Candace Wilson | Social Worker | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-06-05 |
1154943678 | Joni Delaney | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-05-07 |
1700406808 | Clara Terrazas | Social Worker | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-04-20 |
1326676958 | Debra Lee Cockrell | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-03-30 |
1295362101 | Adriane Miles | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-03-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669956157 | Lisa Marlene Valletta | Occupational Therapist | 338 S. Ocotillo Dr., Sacaton, AZ 85247 | 2018-09-20 |
1780831313 | Catherine Colella | Speech-Language Pathologist | Skill Center Road, Sacaton, AZ 85247 | 2008-08-26 |
1447428206 | Janet M Carpentier | Counselor | 483 W Seedfarm Road, New Beginnings Bldg, Sacaton, AZ 85247 | 2008-02-14 |
1962680470 | Donald A. Arntsen | Counselor | 483 W. Seedf Farm Rd, Sacaton, AR 85247 | 2008-02-06 |
1508044223 | Ted Whitney Allison | Counselor | 483 Seed Farm Road, Sacaton, AZ 85247 | 2008-02-05 |
1821206855 | Ashley Anderson | Pharmacist | 483 West Farm Seed Road, Sacaton, AZ 85247 | 2007-05-21 |
1295957256 | Judy Ann Banta | Psychologist | 98 South Skill Center Road, Sacaton, AZ 85247 | 2007-05-02 |
1558499319 | Nathan Paul Long | Internal Medicine | 7929 Brookriver Dr. Ste. 165, Dallas, TX 85247 | 2007-03-01 |
1609929942 | S. Louise Chitwood | Pharmacist | Seed Farm Road, Sacaton, AZ 85247 | 2007-01-19 |
1417000803 | Thomas Alan Alpert | Pharmacist | 483 W Seedfarm Rd, Sacaton, AZ 85247 | 2007-01-19 |
Find all providers in zip 85247 |
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 |
---|---|---|---|---|
1396244976 | Remgbekor | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 7227 S Central Ave Ste 1080, Phoenix, AZ 85042-5457 | 2018-02-08 |
1831448398 | Lechee Health Facility | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3 Miles South of Page, Az, Coppermine Road, Lechee, AZ 86040-0000 | 2012-08-30 |
1467690966 | Medone Healthcare LLC | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2615 S Industrial Park Ave, Tempe, AZ 85282-1821 | 2009-01-22 |
1811165319 | Ton San Simon Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | West Hwy 86 Mile Marker 74, Sells, AZ 85634 | 2008-02-19 |
1659490225 | Tsaile Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Intersection Rt 64 and 12, Tsaile, AZ 86556 | 2007-03-28 |
1912030768 | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Nr 4 2 Mi East of Pinon, Pinon, AZ 86510 | 2007-03-13 |
1346377926 | Inscription House Hlth Ctr Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy 98 and Navajo Rt 16, Shonto, AZ 86054 | 2007-02-28 |
1467587030 | Dhhs Ihs Phoenix Area | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2 West 3rd St, Cibecue, AZ 85911 | 2007-02-22 |
1023143609 | Dhhs Ihs Phoenix Area | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 238 Cibecue Circle, San Carlos, AZ 85550 | 2007-02-22 |
1376678946 | Dhhs Ihs Phoenix Area | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy 264 Mile Marker 388, Polacca, AZ 86042 | 2007-02-22 |
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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.