Organization Active NPI

Watonga IHS Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Watonga, OK
National Provider Identifier
1326198219
Registry record updated Aug 8, 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
49-2937 Issued in OK
Legal business name
WATONGA IHS PHARMACY
Practice address
1305 Clarence Nash Rd.
Watonga, OK 73772
Phone
(580) 623-4991
Fax
(580) 623-5490
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Kaileen Skidgel
Title
Oca Pharmacy Consultant
Phone
(918) 762-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 49-2937 OK Primary

Addresses

Primary practice location

1305 Clarence Nash Rd.
Watonga, OK 73772

Mailing address

1305 Clarence Nash Rd.
Watonga, OK 73772

Other identifiers 2

IdentifierTypeStateIssuer
100231960GMedicaidOK
2076413OtherPK

Other names 1

  • WATONGA IHS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1305 S Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-4991

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": "1754611200000",
    "number": "1326198219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 CLARENCE NASH RD.",
            "city": "WATONGA",
            "state": "OK",
            "postal_code": "73772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 CLARENCE NASH RD.",
            "city": "WATONGA",
            "state": "OK",
            "postal_code": "73772",
            "telephone_number": "580-623-4991",
            "fax_number": "580-623-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATONGA IHS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "SKIDGEL",
        "authorized_official_first_name": "KAILEEN",
        "authorized_official_title_or_position": "OCA PHARMACY CONSULTANT",
        "authorized_official_telephone_number": "918-762-6611"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": "OK",
            "license": "49-2937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100231960G",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2076413",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WATONGA IHS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watonga, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.