CHINLE HEALTH CARE PHARMACY (NPI# 1255460127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255460127 |
Entity Type | Organization |
Organization Name | CHINLE HEALTH CARE PHARMACY |
Other Organization Name | DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY |
Practice Address |
Off Hwy 191 Hospital Road Chinle AZ 86503 |
Mailing Address |
Po Box 31001-0651 Pasadena CA 91110-0651 |
Practice Telephone | 9286747042 |
Practice Fax Number | 9286747463 |
Mailing Telephone | 9286747042 |
Mailing Fax Number | 9286747463 |
Enumeration Date | 2007-03-05 |
Last Update Date | 2013-03-05 |
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 | 0322507 | 01 | |
AZ | 21171 | 05 | |
AZ | 021171 | 05 |
Other Name | Type Code |
---|---|
DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY | Doing Business As Name - Organization |
Street Address |
OFF HWY 191 HOSPITAL ROAD |
City | CHINLE |
State | AZ |
Zip Code | 86503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508800129 | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility | General Acute Care Hospital | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2006-06-15 |
1194991687 | Muna Ar-rushdi | Family Medicine | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2008-05-05 |
1639360639 | Pedro A. Fuentes | Psychologist | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2007-08-05 |
1467652842 | Donald C. Ferlic | Orthopaedic Surgery | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2007-07-23 |
1487859716 | Brian C. Hunter | Dietitian, Registered | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2007-06-18 |
1033326392 | William Mccracken | Dentist | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2007-05-17 |
1942417209 | Donald K. Rice | Dentist | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2007-05-17 |
1679789903 | Victor M Peterson | Podiatrist | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2007-05-15 |
1619195435 | James A. Hayslett | Pharmacist | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2007-04-24 |
1518185248 | John A. Doerner | Radiology | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2007-04-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164042461 | Jonathan Lam | Optometrist | Us 191 & Hospital Dr., Chinle, AZ 86503 | 2020-04-16 |
1154950004 | David Gibrael | Pharmacist | Us 191 Hospital Drive, Chinle, AZ 86503 | 2020-04-03 |
1366076739 | Calli Jo Swenson | Pharmacist | Us 191 & Hospital Drive, Chinle, AZ 86503 | 2020-02-25 |
1336770338 | Quan The Truong | Pharmacist | Us Hway 191 & Hospital Road, Po Drawer Ph, Chinle, AZ 86503 | 2020-01-29 |
1275172264 | Alexandra Guthart | Pharmacist | Us 191 and Hospital Dr, Chinle, AZ 86503 | 2019-12-23 |
1811530819 | Brian Spencer | Dentist | U.S. 191 and Hospital Drive, Chinle, AZ 86503 | 2019-10-22 |
1881249084 | Natasha Renee Bitsui | Community Health Worker | Navajo Rte 7 and 102-1, C012-118, Chinle, AZ 86503 | 2019-08-05 |
1871063628 | Zachary Holtkamp | Physical Therapist | Off Highway 191, Hospital Rd, Chinle, AZ 86503 | 2018-12-04 |
1841774296 | Tanieca Marie Downing | Dietitian, Registered | U.S. 191 & Hospital Drive, Chinle, AZ 86503 | 2018-09-21 |
1417430331 | Virginia Lois Woollens | Dietitian, Registered | Chinle Comprehensive Healthcare Facility, Us 191, Chinle, AZ 86503 | 2018-09-07 |
Find all providers in zip 86503 |
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 |
---|---|---|---|---|
1326171091 | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2007-03-13 |
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.