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Chickasaw Nation Division Of Health

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Ada, OK. Organization (NPI-2).

NPI number1649593252
StatusActive
Last updated in NPPESNov 18, 2022

Details

NPI
1649593252
Entity type
Organization (NPI-2)
Legal business name
Chickasaw Nation Division Of Health
Organization subpart
No
Enumeration date
Mar 10, 2010
Certification date
Nov 18, 2022
Last updated
Nov 18, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
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 codeDescriptionLicenseStatePrimary
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy23-5511OKYes
333600000X Pharmacy––
3336C0003X Pharmacy, Community/Retail Pharmacy––

Other names

  • Chickasaw Nation Medical Center Outpatient Pharmacy (Doing Business As)

Practice location

1904 Carl Albert Blvd Ste A
Ada, OK 74820-3493

Phone 580-272-5710 · Fax 580-272-5711

Mailing address

1921 Stonecipher Dr
Ada, OK 74820-3439

Phone 580-436-3980 · Fax 580-421-4598

Authorized official

Zach Williams
Pharmacist
5804363980

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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