Organization Active NPI

Carneigie Indian Health Clinic

Doing business as Carnegie Indian Health Clinic Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Carnegie, OK
National Provider Identifier
1699825489
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
Legal business name
CARNEIGIE INDIAN HEALTH CLINIC
Doing business as
Carnegie Indian Health Clinic Pharmacy
Practice address
212 E 4TH Street
Carnegie, OK 73015
Phone
(580) 654-2533
NPI assigned
Jan 12, 2007
Last updated
Aug 8, 2025By the provider in NPPES
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 20-3906 OK
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X NU Primary

Addresses

Primary practice location

212 E 4TH Street
Carnegie, OK 73015

Mailing address

212 E 4TH Street
Carnegie, OK 73015
Phone (580) 654-2533

Other identifiers 3

IdentifierTypeStateIssuer
2076412OtherPK
100231960DMedicaidOK
10023196DMedicaidOK

Other names 1

  • CARNEGIE INDIAN HEALTH CLINIC PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carnegie Indian Health Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

212 E 4th St
Carnegie, OK 73015
Phone (580) 654-1100

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1699825489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E 4TH STREET",
            "city": "CARNEGIE",
            "state": "OK",
            "postal_code": "73015",
            "telephone_number": "580-654-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E 4TH STREET",
            "city": "CARNEGIE",
            "state": "OK",
            "postal_code": "73015",
            "telephone_number": "580-654-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNEIGIE INDIAN HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "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": "20-3906",
            "primary": false
        },
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2076412",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100231960D",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10023196D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARNEGIE INDIAN HEALTH CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carnegie, 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.