NPIMap

Organization Active NPI

Citizen Potawatomi Nation Mail Order Pharmacy

Doing business as CPN Mail Order Pharmacy

  • Mail Order Pharmacy
  • Shawnee, OK
National Provider Identifier
1265474662
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
10-5052 Issued in OK
Legal business name
CITIZEN POTAWATOMI NATION MAIL ORDER PHARMACY
Doing business as
CPN Mail Order Pharmacy
Practice address
2307 Gordon Cooper Dr Ste a
Shawnee, OK 74801-9007
Phone
(405) 273-5236
Fax
(405) 878-4835
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Aubry Bennett, CPC-A
Title
Business Office Coordinator
Phone
(405) 964-4025

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Mail Order Pharmacy 3336M0002X 10-5052 OK Primary

Addresses

Primary practice location

2307 Gordon Cooper Dr Ste a
Shawnee, OK 74801-9007

Mailing address

2307 Gordon Cooper Dr Ste a
Shawnee, OK 74801-9007
Phone (405) 273-5236

Other identifiers 1

IdentifierTypeStateIssuer
2077052OtherPK

Other names 1

  • CPN MAIL ORDER PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tribal Affairs Citizen Band4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2307 Gordon Cooper Dr
Ste A
Shawnee, OK 74801
Phone (405) 273-5236

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1265474662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 GORDON COOPER DR STE A",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748019007",
            "telephone_number": "405-273-5236",
            "fax_number": "405-878-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 GORDON COOPER DR STE A",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748019007",
            "telephone_number": "405-273-5236",
            "fax_number": "405-878-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZEN POTAWATOMI NATION MAIL ORDER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "AUBRY",
        "authorized_official_title_or_position": "BUSINESS OFFICE COORDINATOR",
        "authorized_official_telephone_number": "405-964-4025",
        "authorized_official_credential": "CPC-A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "OK",
            "license": "10-5052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2077052",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPN MAIL ORDER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.