NPIMap

Organization Active NPI

Creek Nation Hospital & Clinics

Doing business as MCNDH Pharmacy

  • Community/Retail Pharmacy
  • Tulsa, OK
National Provider Identifier
1093546574
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CREEK NATION HOSPITAL & CLINICS
Doing business as
MCNDH Pharmacy
Practice address
10153 E 79TH St Ste 102
Tulsa, OK 74133-4637
Phone
(855) 771-4321
Fax
(918) 756-2464
NPI assigned
Aug 8, 2024
Last updated
Aug 8, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CREEK NATION HOSPITAL & CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dusty James Allen, PHARMD
Title
Director of Pharmacy
Phone
(918) 756-9909

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Community/Retail Pharmacy 3336C0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

10153 E 79TH St Ste 102
Tulsa, OK 74133-4637

Mailing address

PO Box 400
Okmulgee, OK 74447-0400
Phone (918) 756-9909

Other names 1

  • MCNDH Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Creek Nation Hospital Clin84 organizations share this tax ID, including this one
Part of
Creek Nation Hospital Clin

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

10153 E 79th St
Ste 102
Tulsa, OK 74133
Phone (855) 771-4321

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1093546574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744470400",
            "telephone_number": "918-756-9909",
            "fax_number": "918-756-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10153 E 79TH ST STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334637",
            "telephone_number": "855-771-4321",
            "fax_number": "918-756-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEK NATION HOSPITAL & CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CREEK NATION HOSPITAL & CLINICS",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DUSTY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "918-756-9909",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCNDH Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.