Choctaw Health Center Pharmacy
Organization Active NPI Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Choctaw, MS
NPI 1366478091 · NPPES record last updated Apr 1, 2015
Key facts
- NPI
- 1366478091
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
- Legal business name
- CHOCTAW HEALTH CENTER PHARMACY
- Practice address
- 210 Hospital Cir
Choctaw, MS 39350-6781 - Phone
- (601) 389-4330
- Fax
- (601) 389-4331
- NPI assigned
- Jun 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Charles McKee, PHARM.D.
- Title
- Chief Phcist
- Phone
- (601) 389-4332
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Choctaw Health Center Pharmacy
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/3333adb6-d9a3-40bc-bd12-147d265f6db2/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | Yes | ||
| Pharmacy | 333600000X |
Addresses
Primary practice location
210 Hospital Cir
Choctaw, MS 39350-6781
Mailing address
210 Hospital Cir
Choctaw, MS 39350-6781
Phone (601) 389-4330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2047119 | Other | PK |
Other names
- CHOCTAW HEALTH CENTER PHARMACY
Other providers in Choctaw, MS
- Jessica Nichole Black
- Allison Boatner
- Sylvia Breakfield
- Marjorie Britt
- Natalie A Byram
- Steven Kory Culpepper
- Teresa K. Cumberland
- Penny West Dickerson
- Philip Evans
- William Gregory Evans
All providers in Choctaw, MS · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.