Coquille Indian Tribe

Primary specialty

PharmacyTaxonomy code 333600000X

License

RP-0003305 Issued in OR

Legal business name

COQUILLE INDIAN TRIBE

Practice address

630 Miluk Dr
Coos Bay, OR 97420-7728

Phone

(541) 435-7039

Fax

(541) 982-5352

NPI assigned

Oct 12, 2017

Organization subpart

Yes

Parent organization

COQUILLE INDIAN TRIBEAs reported in NPPES

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

Authorized official

Name

Kelle Little

Title

Health and Human Services Administr

Phone

(541) 888-9494

Specialties & licenses 1

Addresses

Other names 1

• CIT Tribal Pharmacy Other name

Tax ID family

Coquille Indian Tribe2 organizations share this tax ID, including this one

Part of

Coquille Indian Tribe

Other organizations with this tax ID 1

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

• Coquille Indian Tribe

  • Pharmacy
  • Coos Bay, OR
  • NPI 1558871228
  NPD tax ID

Locations

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.

• Coquille Indian Tribe

  • Clinic/Center
  • Coos Bay, OR
  • NPI 1376592287
  NPPES parent name

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1982115366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 MILUK DR",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974207728",
            "telephone_number": "541-888-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 MILUK DR",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974207728",
            "telephone_number": "541-435-7039",
            "fax_number": "541-982-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COQUILLE INDIAN TRIBE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COQUILLE INDIAN TRIBE",
        "enumeration_date": "2017-10-12",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "KELLE",
        "authorized_official_title_or_position": "HEALTH AND HUMAN SERVICES ADMINISTR",
        "authorized_official_telephone_number": "541-888-9494"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": "RP-0003305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIT Tribal Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Coos County Oregon
• Coos County Oregon
• Coos Radiosurgery Group LLC
• Coquille Indian Tribe
• Coquille Indian Tribe
• Coquille Valley Health
• Coquille Valley Health
• Matthew E Cornia, PA-C
• Michel Cota
• Linda Lanette Cotton, R.N.

• Pharmacy in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.