NPIMap

Organization Active NPI

Chinle Health Care Pharmacy

Doing business as DHHS PHS Naihs Chinle Comprehensive Health Care Facility

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Chinle, AZ
National Provider Identifier
1255460127
Registry record updated Jul 24, 2024
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
CHINLE HEALTH CARE PHARMACY
Doing business as
DHHS PHS Naihs Chinle Comprehensive Health Care Facility
Practice address
Off Hwy 191 Hospital Road
Chinle, AZ 86503
Phone
(928) 674-7042
Fax
(928) 674-7463
NPI assigned
Mar 5, 2007
Last updated
Jul 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Nivedita Das, PHARMD
Title
Director of Pharmacy
Phone
(928) 674-7414

Specialties & licenses 1

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

Addresses

Primary practice location

Off Hwy 191 Hospital Road
Chinle, AZ 86503

Mailing address

PO Box 31001-0651
Pasadena, CA 91110-0651
Phone (928) 674-7042

Other identifiers 2

IdentifierTypeStateIssuer
21171MedicaidAZ
0322507OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DHHS PHS Naihs Chinle Comprehensive20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1255460127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-0651",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911100651",
            "telephone_number": "928-674-7042",
            "fax_number": "928-674-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OFF HWY 191 HOSPITAL ROAD",
            "city": "CHINLE",
            "state": "AZ",
            "postal_code": "86503",
            "telephone_number": "928-674-7042",
            "fax_number": "928-674-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINLE HEALTH CARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "DAS",
        "authorized_official_first_name": "NIVEDITA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "928-674-7414",
        "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": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21171",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0322507",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chinle, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.