NPIMap

Organization Active NPI

St. Croix Chippewa Indians of Wi

Doing business as Siren Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Siren, WI
National Provider Identifier
1821810565
Registry record updated Oct 24, 2024
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
ST. CROIX CHIPPEWA INDIANS OF WI
Doing business as
Siren Pharmacy
St Croix Tribal Health Center Pharmacy
Practice address
24106 State Road 35 70
Siren, WI 54872-8006
Phone
(715) 349-2221
NPI assigned
Oct 24, 2024
Last updated
Oct 24, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. CROIX CHIPPEWA INDIANS OF WIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Amber Heinz, PHARM D
Title
Health Director
Phone
(715) 349-8554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X Primary

Addresses

Primary practice location

24106 State Road 35 70
Siren, WI 54872-8006

Mailing address

24106 State Road 35 70
Siren, WI 54872-8006
Phone (715) 349-2221

Other names 2

  • Siren Pharmacy Doing business as
  • St Croix Tribal Health Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Croix Tribal Council7 organizations share this tax ID, including this one
Part of
St Croix Tribal Council

Other organizations with this tax ID 6

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

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1821810565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24106 STATE ROAD 35 70",
            "city": "SIREN",
            "state": "WI",
            "postal_code": "548728006",
            "telephone_number": "715-349-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24106 STATE ROAD 35 70",
            "city": "SIREN",
            "state": "WI",
            "postal_code": "548728006",
            "telephone_number": "715-349-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CROIX CHIPPEWA INDIANS OF WI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. CROIX CHIPPEWA INDIANS OF WI",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "HEINZ",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "715-349-8554",
        "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siren Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Croix Tribal Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Siren, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.