NISQUALLY INDIAN TRIBE (NPI# 1952623027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952623027 |
Entity Type | Organization |
Organization Name | NISQUALLY INDIAN TRIBE |
Other Organization Name | NISQUALLY TRIBAL PHARMACY |
Practice Address |
4816 She Nah Num Dr Se Olympia WA 98513-9105 |
Practice Telephone | 3604595312 |
Practice Fax Number | 3604561557 |
Mailing Telephone | 3604595312 |
Mailing Fax Number | 3604561557 |
Enumeration Date | 2010-02-17 |
Last Update Date | 2010-02-17 |
Authorized Official Name | LARRY LAMEBULL (HEALTH ADMINISTRATOR, NISQUALL) |
Authorized Official Telephone | 3604565221 |
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 | 4933645 | 01 |
Other Name | Type Code |
---|---|
Nisqually Tribal Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477745925 | Nisqually Indian Tribe | Clinic/Center | 4816 She Nah Num Dr Se, Olympia, WA 98513-9105 | 2007-08-17 |
Street Address |
4816 SHE NAH NUM DR SE |
City | OLYMPIA |
State | WA |
Zip Code | 98513-9105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215934054 | Alison J Spencer | Family Medicine | 4816 She Nah Num Dr Se, Olympia, WA 98513-9105 | 2005-07-07 |
1205382504 | Richelle Kistler | Pharmacist | 4816 She Nah Num Dr Se, Olympia, WA 98513-9105 | 2016-08-28 |
1356715882 | Anita Frances Torres | Counselor | 4816 She Nah Num Dr Se, Olympia, WA 98513-9105 | 2015-11-20 |
1215324918 | Robert Rodgers | Counselor | 4816 She Nah Num Dr Se, Olympia, WA 98513-9105 | 2015-04-20 |
1467857573 | Francis Caclda | Clinic/Center | 4816 She Nah Num Dr Se, Olympia, WA 98513-9105 | 2014-10-31 |
1790190858 | Cynthia Gallegos | Registered Nurse | 4816 She Nah Num Dr Se, Olympia, WA 98513-9105 | 2014-06-27 |
1508161050 | Diane R Barres | Pharmacist | 4816 She Nah Num Dr Se, Olympia, WA 98513-9105 | 2011-01-13 |
1992938575 | Scot L Metcalfe | Counselor | 4816 She Nah Num Dr Se, Olympia, WA 98513-9105 | 2009-08-28 |
1023245149 | Jennifer L Caldwell-hoskins | Counselor | 4816 She Nah Num Dr Se, Olympia, WA 98513-9105 | 2009-06-16 |
1467612440 | Roni Ann Rave | Specialist | 4816 She Nah Num Dr Se, Olympia, WA 98513-9105 | 2008-06-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760095962 | Katrina-nadine Maanao Perez | Occupational Therapist | Meadows Elementary School, 836 Deerbrush Drive Se, Lacey, WA 98513 | 2020-08-26 |
1679056824 | Katharine Loco-marshall | Physician Assistant | 4816 She-nah-num Drive, Olympia, WA 98513 | 2018-09-13 |
1881113439 | Riley Cruz | Massage Therapist | 10135 Stedman Rd Se, Olympia, WA 98513 | 2017-09-14 |
1174071948 | Kirby Healthcare, LLC | Nursing Care | 244 Dutterow Rd Se, Olympia, WA 98513 | 2016-09-21 |
1477980134 | Angela Karr | Pharmacist | 4918 Balustrade Blvd Se, Lacey, WA 98513 | 2013-09-26 |
1174875876 | Sheila Lynn Emmons | Massage Therapist | 8321 Valley Green Dr., Olympia, WA 98513 | 2012-10-05 |
1407081391 | Nicole Justine Adamson | Chiropractor | 4631 Whitman Lane, Suite B, Lacey, WA 98513 | 2009-05-20 |
1568628410 | Molly Carolyn Ostrander | Counselor | 5026 70th Way South East, Lacey, WA 98513 | 2008-07-31 |
1063674430 | Wayne Lawrence Franks | Counselor | 4816 She-nah-num Drive Se, Nisqually Indiantribe, Olympia, WA 98513 | 2008-06-27 |
1356521405 | Mikki R Bosman | Massage Therapist | 5515 93rd Ave Se, Olympia, WA 98513 | 2007-11-06 |
Find all providers in zip 98513 |
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 |
---|---|---|---|---|
1184135808 | Alliance Healthcare Technolgies | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1781 267th Ct Se, Sammamish, WA 98075 | 2017-10-20 |
1427171628 | Roger Saux Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1505 Klaookwa Drive, Taholah, WA 98587 | 2007-04-10 |
1265556005 | Department of Health and Human Services | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 29 Nespelem San Poil Street, Nespelem, WA 99155-0071 | 2007-03-19 |
1679607956 | Omak Tribal Health Clinic | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 29 Nespelem Sanpoil St, Nespelem, WA 99155-0071 | 2007-03-16 |
1750411310 | David C Wynecoop Memorial Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Agency Square, Wellpinit, WA 99040 | 2007-03-06 |
1063542645 | Colville Indian Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Agency Campus Hwy 155, Nespelem, WA 99155 | 2007-03-06 |
1487105482 | Native Project Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1803 W Maxwell Ave, Spokane, WA 99201-2831 | 2016-10-14 |
1881142214 | Confederated Tribes of The Chehalis Reservation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 21 Niederman Rd, Oakville, WA 98568-8904 | 2016-09-14 |
1699184366 | The Native Project | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1803 W Maxwell Ave, Spokane, WA 99201-2831 | 2014-08-07 |
1225241581 | Muckleshoot Health and Wellness Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 17500 Se 392nd St, Attn Pharmacy, Auburn, WA 98092-9705 | 2007-05-07 |
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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.