Organization · Type 2 NPI

Pine Ridge Indian Health Service Hospital

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Wanblee, SD

NPI number 1174653752 Active

Practice location

210 1st St
Wanblee, SD 57577

Call (605) 462-6155 Map

Fax (605) 462-6551

Mailing address

3120 Solutions Ctr
Chicago, IL 60677-3001

Specialties and licenses

Taxonomy	Code	License
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary	332800000X	None listed

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy: An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.

4 other providers at this address

NPI record

NPI: 1174653752
Entity type: Organization (Type 2)
Issued: Mar 6, 2007
Last updated: Nov 25, 2020
Status: Active
Subpart: Yes of Pine Ridge Indian Health Service Hospital

Other names

<unavail>
Wanblee Health Center · doing business as
Wanblee Health Center · doing business as

Authorized official

James Cummings, PharmD
Pharmacy Program Specialist
(405) 951-6086

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174653752

Pine Ridge Indian Health Service Hospital's National Provider Identifier is 1174653752, issued on Mar 6, 2007. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Wanblee, SD. The record was last updated on Nov 25, 2020.