WATONGA IHS PHARMACY (NPI# 1326198219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326198219 |
| Entity Type | Organization |
| Organization Name | WATONGA IHS PHARMACY |
| Other Organization Name | WATONGA IHS PHARMACY |
| Practice Address |
Rt 1 Watonga OK 73772 |
| Mailing Address |
Po Box 676744 Dallas TX 75267-6744 |
| Practice Telephone | 5806234991 |
| Practice Fax Number | 5806235490 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2016-10-19 |
| 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 | 49-2937 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100231960G | 05 | |
| PK | 2076413 | 01 |
| Other Name | Type Code |
|---|---|
| WATONGA IHS PHARMACY | Doing Business As Name - Organization |
| Street Address |
RT 1 |
| City | WATONGA |
| State | OK |
| Zip Code | 73772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225546815 | Sabrina Marie Yoder | Case Manager/Care Coordinator | 115 East 1st Street, Watonga, Ok, OK 73772 | 2018-01-17 |
| 1285150847 | Miriam Vaughan | Community Health Worker | 115 1/2 E 1st St, Watonga, OK 73772 | 2017-08-16 |
| 1053697649 | Marlin R Giles | Community/Behavioral Health | 403 Clarence Nash, Watonga, OK 73772 | 2011-10-26 |
| 1174811681 | Matthew Giles | Community/Behavioral Health | 1114 Villa Dr., Watonga, OK 73772 | 2011-07-18 |
| 1003127937 | Linda Jolane Scott | Counselor | 115 E. 1st Street, Watonga, OK 73772 | 2010-06-25 |
| 1063686764 | Brianna Auge | Counselor | 214 'a' Street, Watonga, OK 73772 | 2008-04-15 |
| 1770778417 | Jaycif A Justice | Social Worker | 216 W 'a' St., Watonga, OK 73772 | 2007-09-06 |
| 1609938984 | Flauryse M Baguidy | Dentist | Rr 1 Hwy 281 South, Usphs Ihs Watonga Health Center, Watonga, OK 73772 | 2006-12-14 |
| 1437603768 | City of Watonga | Ambulance | 305 W Main, Watonga, OK 73772 | 2016-08-03 |
| 1982976742 | Richard Zielinski Md, Pllc | Psychiatry & Neurology | 712 W 3rd St, Watonga, OK 73772 | 2012-02-08 |
| Find all providers in zip 73772 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1952303190 | Pawhuska Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2005-06-01 |
| 1568839470 | Osage Nation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2015-08-26 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WATONGA 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.