Chickasaw Nation Division Of Health
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Ada, OK. Organization (NPI-2).
NPI number1487715587
StatusActive
Last updated in NPPESMar 9, 2016
Details
- NPI
- 1487715587
- Entity type
- Organization (NPI-2)
- Legal business name
- Chickasaw Nation Division Of Health
- Organization subpart
- No
- Enumeration date
- Dec 12, 2006
- Last updated
- Mar 9, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - INDIAN HEALTH SERVICE OR TRIBAL FACILITY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 235613 | OK | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Chickasaw Nation Refill Center (Doing Business As)
Practice location
933 N Country Club RdAda, OK 74820-2845
Phone 580-272-5710 · Fax 580-272-5711
Mailing address
933 N Country Club RdAda, OK 74820-2845
Phone 580-272-5710 · Fax 580-272-5711
Authorized official
Zach Williams
Pharmacist
5802725710
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