CHEROKEE NATION (NPI# 1629476221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629476221 |
| Entity Type | Organization |
| Organization Name | CHEROKEE NATION |
| Other Organization Name | COOWEESCOOWEE HEALTH CLINIC PHARMACY |
| Practice Address |
395200 W 2900 Rd Ochelata OK 74051-2463 |
| Practice Telephone | 9185356000 |
| Practice Fax Number | 9184581211 |
| Mailing Telephone | 9182074915 |
| Mailing Fax Number | 9184581211 |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2017-03-24 |
| Authorized Official Name | JEFF SANDERS (HEALTH SYSTEM PHARMACY DIRECTO) |
| Authorized Official Telephone | 9182074915 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 9-7213 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2149188 | 01 |
| Other Name | Type Code |
|---|---|
| Cooweescoowee Health Clinic Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356787444 | Cherokee Nation | Clinic/Center | 1277 Skill Center Cir, Tahlequah, OK 74464-6495 | 2013-05-15 |
| 1326294968 | Cherokee Nation | Pharmacy | 19600 North Ross Street, Tahlequah, OK 74464 | 2008-08-14 |
| 1801803846 | Cherokee Nation | Durable Medical Equipment & Medical Supplies | 301 S J T Stites St, Sallisaw, OK 74955-9302 | 2006-08-02 |
| 1093722324 | Cherokee Nation | Clinic/Center | 16944 W Cherokee, Tahlequah, OK 74464-5539 | 2006-08-01 |
| 1659388965 | Cherokee Nation | Clinic/Center | 859 E. Melton Drive, Jay, OK 74346-4205 | 2006-08-01 |
| 1649216441 | Cherokee Nation | Durable Medical Equipment & Medical Supplies | 1020 Lenape Dr, Nowata, OK 74048-4403 | 2006-06-21 |
| 1588667760 | Cherokee Nation | Ambulance | 22114 S Bald Hill Rd, Tahlequah, OK 74464-1519 | 2005-05-23 |
| 1346623584 | Cherokee Nation | Pharmacy | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2015-07-07 |
| 1871972430 | Cherokee Nation | Clinic/Center | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2015-05-28 |
| 1790030369 | Cherokee Nation | Pharmacy | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2012-07-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | CHEROKEE NATION 22ND CENTURY, L.L.C. | 777 W Cherokee St Corp Bldg 2, Catoosa, OK 74015 |
| Colorado Business Entities | Cherokee Nation 3S, L.L.C. | 777 W Cherokee St, Catoosa, OK 74015 |
| Oklahoma Business Registrations | CHEROKEE NATION 3S, L.L.C. | 777 W Cherokee, Catoosa, OK 74015 |
| System for Award Management (SAM) Entities | CHEROKEE NATION AEROSPACE AND DEFENSE, L.L.C. | 2777 Highway 69a, Pryor, OK 74361-4565 |
| Colorado Business Entities | Cherokee Nation Aerospace and Defense, L.L.C. | 777 W. Cherokee Street, Catoosa, OK 74015 |
| Oklahoma Business Registrations | CHEROKEE NATION AEROSPACE AND DEFENSE, L.L.C. | Rt. 3 Box 498, Stilwell, OK 74960 |
| System for Award Management (SAM) Entities | CHEROKEE NATION ASSURANCE, L.L.C. | 777 W Cherokee St, Catoosa, OK 74015-3235 |
| Oregon Corporations, Companies and Business Names | CHEROKEE NATION ASSURANCE, L.L.C. | 777 W Cherokee Street, Corp Bldg 2, Catoosa, OK 74015 |
| Washington State Corporations | CHEROKEE NATION ASSURANCE, L.L.C. | 777 W Cherokee St, Corp. Bldg. 2, Catoosa, OK 74015 |
| Colorado Business Entities | Cherokee Nation Assurance, L.L.C. | 777 W. Cherokee Street, Corp. Bldg. 2, Catoosa, OK 74015 |
| Street Address |
395200 W 2900 RD |
| City | OCHELATA |
| State | OK |
| Zip Code | 74051-2463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053430512 | Gregory S. Brooks | Family Medicine | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2007-03-28 |
| 1972067585 | Kayla Horton | Licensed Practical Nurse | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2019-01-28 |
| 1205310349 | Shaunda Stanley | Registered Nurse | 395200 W 2900 Rd, Ochelata, OK 74051 | 2018-09-24 |
| 1871972430 | Cherokee Nation | Clinic/Center | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2015-05-28 |
| 1366839029 | Kellye Parker | Pharmacist | 395200 W 2900 Rd, Ochelata, OK 74501 | 2015-04-21 |
| 1619243888 | Amanda Bighorse | Family Medicine | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2012-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700324209 | Angela Mackey | Counselor | 396301 W Rd 3000, Ochelata, OK 74051 | 2017-02-03 |
| 1578123022 | Tracy Lyne Coquillette | Case Manager/Care Coordinator | 28788 N 3964 Rd, Ochelata, OK 74051-2049 | 2019-06-17 |
| 1912354069 | Bridget Shook | Case Manager/Care Coordinator | 30615 N 3950 Rd, Ochelata, OK 74051-2417 | 2016-05-18 |
| 1326566001 | Minor Pediatrics Kristie Minor Aprn-cnp Pllc | Nurse Practitioner | 29334 N 3950 Rd, Ochelata, OK 74051-2485 | 2017-09-01 |
| 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 |
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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.