Organization Active NPI

Te-Moak Tribe of Western Shoshone

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Elko, NV
National Provider Identifier
1154952380
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
Legal business name
TE-MOAK TRIBE OF WESTERN SHOSHONE
Practice address
525 Sunset St
Elko, NV 89801-2539
Phone
(775) 738-9251
Fax
(775) 738-2345
NPI assigned
Jan 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Authorized official

Name
Rose Karr
Title
Eyewear Tech.
Phone
(775) 738-9251

Specialties & licenses 1

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

Addresses

Primary practice location

525 Sunset St
Elko, NV 89801-2539

Mailing address

525 Sunset St
Elko, NV 89801-2539
Phone (775) 738-9251

National Provider Directory

National Provider Directory

Locations

525 Sunset St
Elko, NV 89801
Phone (775) 738-9251

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1154952380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 SUNSET ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012539",
            "telephone_number": "775-738-9251",
            "fax_number": "775-738-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SUNSET ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012539",
            "telephone_number": "775-738-9251",
            "fax_number": "775-738-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TE-MOAK TRIBE OF WESTERN SHOSHONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "KARR",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "EYEWEAR TECH.",
        "authorized_official_telephone_number": "775-738-9251"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.