NPIMap

Organization Active NPI

Absentee Shawnee Tribal Health Authority, Inc.

Doing business as Absentee Shawnee Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Shawnee, OK
National Provider Identifier
1831294024
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
License
10-4263 Issued in OK
Legal business name
ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC.
Doing business as
Absentee Shawnee Pharmacy
Practice address
2029 Gordon Cooper Dr
Shawnee, OK 74801-9005
Phone
(405) 878-5859
Fax
(405) 669-3099
NPI assigned
Sep 13, 2006
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Marty Lofgren, MD, CPENPI 1861464752
Title
Executive/ Medical Director
Phone
(405) 447-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 10-4263 OK Primary

Addresses

Primary practice location

2029 Gordon Cooper Dr
Shawnee, OK 74801-9005

Mailing address

15951 Little Axe Dr
Norman, OK 73026-9088
Phone (405) 447-0300

Other names 1

  • Absentee Shawnee Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Absentee Shawnee Tribal Health Authority Inc6 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.

Locations

2029 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 878-4702

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": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1831294024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15951 LITTLE AXE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730269088",
            "telephone_number": "405-447-0300",
            "fax_number": "405-701-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 GORDON COOPER DR",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748019005",
            "telephone_number": "405-878-5859",
            "fax_number": "405-669-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "LOFGREN",
        "authorized_official_first_name": "MARTY",
        "authorized_official_title_or_position": "EXECUTIVE/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "405-447-0300",
        "authorized_official_credential": "MD, CPE"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": "OK",
            "license": "10-4263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absentee Shawnee Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.