Central Oklahoma American Indian Health Council, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

14183 Issued in OK

Legal business name

CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.

Doing business as

Oklahoma City Indian Clinic Pharmacy

Practice address

4913 W Reno Ave
Oklahoma City, OK 73127-6339

Phone

(405) 948-4900

Fax

(405) 948-4929

NPI assigned

Aug 23, 2005

Organization subpart

Yes

Parent organization

CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.As reported in NPPES

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

Authorized official

Name

Ms. Robyn R Sunday-Allen, RN, MPH

Title

Chief Executive Officer

Phone

(405) 948-4900

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Oklahoma City Indian Clinic Pharmacy Doing business as

Tax ID family

Central Oklahoma American Indian Health Council Inc5 organizations share this tax ID, including this one

Part of

Central Oklahoma American Indian Health Council Inc

Other organizations with this tax ID 4

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

• Central Oklahoma American Indian Health Council, Inc.

  • Clinic/Center
  • Oklahoma City, OK
  • NPI 1205417219
  NPD tax ID
• Central Oklahoma American Indian Health Council, Inc.

  • Radiology Clinic/Center
  • Oklahoma City, OK
  • NPI 1225295272
  NPD tax ID
• Central Oklahoma American Indian Health Council, Inc.

  • Clinical Medical Laboratory
  • Oklahoma City, OK
  • NPI 1780841734
  NPD tax ID
• Central Oklahoma American Indian Health Council, Inc.

  • Mail Order Pharmacy
  • Oklahoma City, OK
  • NPI 1942196621
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Central Oklahoma American Indian Health Council, Inc.

  • Federally Qualified Health Center (FQHC)
  • Oklahoma City, OK
  • NPI 1407969728
  NPPES parent name

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1811980154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 W RENO AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731276339",
            "telephone_number": "405-948-4900",
            "fax_number": "405-948-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 W RENO AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731276339",
            "telephone_number": "405-948-4900",
            "fax_number": "405-948-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "SUNDAY-ALLEN",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "405-948-4900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MPH"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "14183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100243180A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma City Indian Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oklahoma City Indian Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Central Oklahoma American Indian Health Council, Inc.
• Central Oklahoma American Indian Health Council, Inc.
• Central Oklahoma American Indian Health Council, Inc.
• Central Oklahoma American Indian Health Council, Inc.
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• Pharmacy in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.