Organization Active NPI

Cherokee Nation

Doing business as Cooweescoowee Health Clinic Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Ochelata, OK
National Provider Identifier
1629476221
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
License
9-7213 Issued in OK
Legal business name
CHEROKEE NATION
Doing business as
Cooweescoowee Health Clinic Pharmacy
Practice address
395200 W 2900 Rd
Ochelata, OK 74051-2463
Phone
(918) 535-6000
Fax
(918) 458-1211
NPI assigned
Dec 12, 2014
Last updated
Mar 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Jeff Sanders
Title
Health System Pharmacy Directo
Phone
(918) 207-4915

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 9-7213 OK Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

395200 W 2900 Rd
Ochelata, OK 74051-2463

Mailing address

395200 W 2900 Rd
Ochelata, OK 74051-2463
Phone (918) 207-4915

Other identifiers 1

IdentifierTypeStateIssuer
2149188OtherPK

Other names 1

  • Cooweescoowee Health Clinic Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cherokee NTN HLTH Stilw21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1629476221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395200 W 2900 RD",
            "city": "OCHELATA",
            "state": "OK",
            "postal_code": "740512463",
            "telephone_number": "918-207-4915",
            "fax_number": "918-458-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395200 W 2900 RD",
            "city": "OCHELATA",
            "state": "OK",
            "postal_code": "740512463",
            "telephone_number": "918-535-6000",
            "fax_number": "918-458-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE NATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "HEALTH SYSTEM PHARMACY DIRECTO",
        "authorized_official_telephone_number": "918-207-4915"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": "OK",
            "license": "9-7213",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149188",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cooweescoowee Health Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ochelata, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.