Organization Active NPI

Ely Shoshone Tribe

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Ely, NV
National Provider Identifier
1740434844
Registry record updated Jun 17, 2022
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
ELY SHOSHONE TRIBE
Practice address
400 Newe View
Ely, NV 89301-3139
Phone
(775) 289-4133
Fax
(775) 289-3890
NPI assigned
Nov 17, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Garret Eugene Garber, PHARM DNPI 1962776112
Title
Clinic Supervisor/Pharmacy Manager
Phone
(775) 289-2134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

National Provider Directory

National Provider Directory

Locations

400 B Newe Vw
Ely, NV 89301
Phone (775) 289-2134

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

NPPES NPI Registry

Primary practice location

400 Newe View
Ely, NV 89301-3139

Mailing address

400 B Newe VW
Ely, NV 89301-3139
Phone (775) 289-4133

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1548217409OtherCLINIC NPI
2991087OtherNPDS

Other names 2

NPPES NPI Registry
  • Newe Medical Clinic Doing business as
  • Newe Medical Clinic Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 17, 2022.

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1740434844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 B NEWE VW",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893013139",
            "telephone_number": "775-289-4133",
            "fax_number": "775-289-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWE VIEW",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893013139",
            "telephone_number": "775-289-4133",
            "fax_number": "775-289-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELY SHOSHONE TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "GARBER",
        "authorized_official_first_name": "GARRET",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CLINIC SUPERVISOR/PHARMACY MANAGER",
        "authorized_official_telephone_number": "775-289-2134",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC NPI",
            "identifier": "1548217409",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPDS",
            "identifier": "2991087",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newe Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Newe Medical Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ely, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.