NPIMap

Organization Active NPI

White Earth Indian Health Center Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Ogema, MN
National Provider Identifier
1922024876
Registry record updated Jun 21, 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
WHITE EARTH INDIAN HEALTH CENTER PHARMACY
Doing business as
White Earth Indian Health Center Pharmacy
Practice address
40520 County Highway 34
Ogema, MN 56569-9612
Phone
(218) 983-6375
Fax
(218) 983-6384
NPI assigned
Jul 14, 2006
Organization subpart
Yes
Parent organization
WHITE EARTH INDIAN HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Authorized official

Name
Leeann Marie Thorson
Title
Deputy Ceo
Phone
(218) 983-6303

Specialties & licenses 1

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

Addresses

Primary practice location

40520 County Highway 34
Ogema, MN 56569-9612

Mailing address

40520 County Highway 34
Ogema, MN 56569-9612
Phone (218) 983-4300

Other names 1

  • WHITE EARTH INDIAN HEALTH CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pine Point Health Station5 organizations share this tax ID, including this one
Part of
Pine Point Health Station

Other organizations with this tax ID 4

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

Locations

3147 Solutions Ctr
Chicago, IL 60677

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1922024876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40520 COUNTY HIGHWAY 34",
            "city": "OGEMA",
            "state": "MN",
            "postal_code": "565699612",
            "telephone_number": "218-983-4300",
            "fax_number": "218-983-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40520 COUNTY HIGHWAY 34",
            "city": "OGEMA",
            "state": "MN",
            "postal_code": "565699612",
            "telephone_number": "218-983-6375",
            "fax_number": "218-983-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE EARTH INDIAN HEALTH CENTER PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITE EARTH INDIAN HEALTH CENTER",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "THORSON",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DEPUTY CEO",
        "authorized_official_telephone_number": "218-983-6303"
    },
    "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": "WHITE EARTH INDIAN HEALTH CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ogema, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.