CHICKASAW NATION DIVISION OF HEALTH (NPI# 1669597027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669597027 |
| Entity Type | Organization |
| Organization Name | CHICKASAW NATION DIVISION OF HEALTH |
| Other Organization Name | ARDMORE INDIAN CLINIC PHARMACY |
| Practice Address |
2510 Chickasaw Blvd Ardmore OK 73401-1341 |
| Mailing Address |
1921 Stonecipher Dr Ada OK 74820-3439 |
| Practice Telephone | 5802725710 |
| Practice Fax Number | 5802725711 |
| Mailing Telephone | 5804214597 |
| Mailing Fax Number | 5804214598 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2016-08-19 |
| Authorized Official Name | ZACH WILLIAMS (PHARMACIST) |
| Authorized Official Telephone | 5802725710 |
| Authorized Official Credential | DPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 123425 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2074770 | 01 | |
| OK | 100244600A | 05 |
| Other Name | Type Code |
|---|---|
| ARDMORE INDIAN CLINIC PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295399095 | Chickasaw Nation Division of Health | Durable Medical Equipment & Medical Supplies | 1904 Carl Albert Blvd Ste B, Ada, OK 74820-3493 | 2019-04-26 |
| 1487715587 | Chickasaw Nation Division of Health | Pharmacy | 933 N Country Club Rd, Ada, OK 74820-2845 | 2006-12-12 |
| 1376652180 | Chickasaw Nation Division of Health | Technician/Technologist | 1005 N Country Club Rd, Ada, OK 74820-2847 | 2006-08-29 |
| 1174063903 | Chickasaw Nation Division of Health | Medicare Defined Swing Bed Unit | 1921 Stonecipher Blvd, Ada, OK 74820-3439 | 2017-02-27 |
| 1649593252 | Chickasaw Nation Division of Health | Pharmacy | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2010-03-10 |
| 1598943706 | Chickasaw Nation Division of Health | Clinic/Center | 1921 Stonecipher Blvd, Ada, OK 74820-3439 | 2008-02-11 |
| 1215052675 | Chickasaw Nation Division of Health | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1007 N Country Club Rd, Ada, OK 74820-2847 | 2007-03-21 |
| 1750406757 | Chickasaw Nation Division of Health | Pharmacy | 817 E 6th St, Tishomingo, OK 73460-1800 | 2007-03-20 |
| 1396860003 | Chickasaw Nation Division of Health | Pharmacy | 1438 Hardcastle Blvd, Purcell, OK 73080-8233 | 2007-03-20 |
| Street Address |
2510 CHICKASAW BLVD |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-1341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902879356 | Daniel Woods | Optometrist | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2006-02-08 |
| 1700308194 | Melinda Kelsey | Dietitian, Registered | 2510 Chickasaw Blvd, Ardmore, OK 73401 | 2017-07-07 |
| 1316324809 | Paula Hunter | Physical Therapy Assistant | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2015-05-04 |
| 1811205925 | Tasha Renee Preston | Nurse Practitioner | 2510 Chickasaw Blvd, Ardmore, OK 73401 | 2010-09-23 |
| 1336477728 | Tamara Rae Brunk | Clinical Nurse Specialist | 2510 Chickasaw Blvd, Ardmore, OK 73401 | 2009-11-24 |
| 1386815421 | Jean Suzanne Cannon | General Practice | 2510 Chickasaw Blvd, Ardmore, OK 73401 | 2008-03-17 |
| 1285832436 | Lucille Way | Nurse Practitioner | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2007-07-10 |
| 1053516781 | David Harris | Dentist | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2007-06-21 |
| 1952515967 | Joel Herschler | Dentist | 2510 Chickasaw Blvd, Ardmore, OK 73401 | 2007-05-09 |
| 1730249186 | Chickasaw Nation Division of Health Chickasaw Nation Medical Center | Clinic/Center | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| 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 CHICKASAW NATION DIVISION OF HEALTH.
| 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.