NPIMap

Organization Active NPI

Klamath Tribal Health & Family Services

Doing business as Klamath Tribal Pharmacy - Chiloquin

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Chiloquin, OR
National Provider Identifier
1639290778
Registry record updated Jul 17, 2023
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
KLAMATH TRIBAL HEALTH & FAMILY SERVICES
Doing business as
Klamath Tribal Pharmacy - Chiloquin
Practice address
330 S Chiloquin Blvd
Chiloquin, OR 97624-6747
Phone
(541) 783-2438
Fax
(541) 783-3554
NPI assigned
Apr 3, 2007
Last updated
Jul 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Timothy George Langford, PHARMD
Title
Pharmacy Director
Phone
(541) 882-1487

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X NU Primary
Clinic Pharmacy 3336C0002X NU

Addresses

Primary practice location

330 S Chiloquin Blvd
Chiloquin, OR 97624-6747

Mailing address

PO Box 490
Chiloquin, OR 97624-0490
Phone (541) 783-2438

Other identifiers 2

IdentifierTypeStateIssuer
2078297OtherPK
115761MedicaidOR

Other names 2

  • Klamath Tribal Pharmacy - Chiloquin Doing business as
  • KLAMATH TRIBAL HEALTH PHARMACY Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Klamath Tribal Health6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1639290778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "CHILOQUIN",
            "state": "OR",
            "postal_code": "976240490",
            "telephone_number": "541-783-2438",
            "fax_number": "541-783-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S CHILOQUIN BLVD",
            "city": "CHILOQUIN",
            "state": "OR",
            "postal_code": "976246747",
            "telephone_number": "541-783-2438",
            "fax_number": "541-783-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAMATH TRIBAL HEALTH & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "LANGFORD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "541-882-1487",
        "authorized_official_credential": "PHARMD"
    },
    "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": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2078297",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115761",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klamath Tribal Pharmacy - Chiloquin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KLAMATH TRIBAL HEALTH PHARMACY",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chiloquin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.