NPIMap

Organization Active NPI

Pawnee IHS Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Pawnee, OK
National Provider Identifier
1124178017
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
License
521768 Issued in OK
Legal business name
PAWNEE IHS PHARMACY
Doing business as
Pawnee IHS Pharmacy
Practice address
1201 Heritage Cir
Pawnee, OK 74058-3744
Phone
(918) 762-2517
Fax
(918) 762-4614
NPI assigned
Jan 11, 2007
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Kaileen Skidgel, PHARMDNPI 1386858769
Title
Area Pharmacy Consultant
Phone
(918) 762-6611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 521768 OK Primary

Addresses

Primary practice location

1201 Heritage Cir
Pawnee, OK 74058-3744

Mailing address

PO Box 95435
Cleveland, OH 44101-0033
Phone (918) 762-2517

Other identifiers 2

IdentifierTypeStateIssuer
100231960EMedicaidOK
3723029OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • PAWNEE IHS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 197

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 197

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1124178017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95435",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441010033",
            "telephone_number": "918-762-2517",
            "fax_number": "918-762-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HERITAGE CIR",
            "city": "PAWNEE",
            "state": "OK",
            "postal_code": "740583744",
            "telephone_number": "918-762-2517",
            "fax_number": "918-762-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAWNEE IHS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "SKIDGEL",
        "authorized_official_first_name": "KAILEEN",
        "authorized_official_title_or_position": "AREA PHARMACY CONSULTANT",
        "authorized_official_telephone_number": "918-762-6611",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": "OK",
            "license": "521768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100231960E",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3723029",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAWNEE IHS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.