Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
CHICKASAW NATION DIVISION OF HEALTH
Active
Organization
CHICKASAW NATION DIVISION OF HEALTH
Active
Other names
Chickasaw Nation Medical Center Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ZACH WILLIAMS (PHARMACIST)
(580) 436-3980
Entity
Organization
Contact information
Practice address
1904 CARL ALBERT BLVD STE A, ADA, OK 74820-3493
(580) 272-5710
(580) 272-5711
Mailing address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
(580) 421-4598
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
23-5511
OK
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124048
PK
—
01
—
23-8479
STATE PHARMACY LICENSE
OK
Enumeration date
03/10/2010
Last updated
11/18/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up