COUNCIL OAK COMPREHENSIVE HEALTH PHARMACY
NPI 1265004667
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Tulsa, OK

Q: What is Creek Nation Hospital & Clinics's NPI number?

The NPI number for Creek Nation Hospital & Clinics is 1265004667. It was assigned to this organization in the NPPES registry on July 14, 2021. The provider is doing business as Council Oak Comprehensive Health Pharmacy.

Q: What is Creek Nation Hospital & Clinics's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

Active since July 14, 2021

10109 E 79TH ST, OUTPATIENT PHARMACY, TULSA, OK 74133(855) 771-4321(918) 756-2464 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 8, 2024, Jul 14, 2021 (2 updates tracked since 2021).

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About Council Oak Comprehensive Health Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNCIL OAK COMPREHENSIVE HEALTH PHARMACY (NPI 1265004667) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Tulsa, Oklahoma and active in the NPI registry since July 2021. The organization lists Dusty Allen, Pharmacy Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1265004667

Entity TypeOrganization

Primary Taxonomy332800000X

Legal Business NameCREEK NATION HOSPITAL & CLINICS

Location Address10109 E 79TH ST, OUTPATIENT PHARMACYTulsa, OK 74133

Mailing AddressMcn Pharmacy Dept # 1249Tulsa, OK 74182-0001 · (918) 756-9909 · Fax (918) 756-2464

Phone(855) 771-4321

Fax(918) 756-2464

Organization SubpartYes

Authorized OfficialDusty AllenPharmacy Billing Manager · (918) 756-4233

Enumeration DateJuly 14, 2021

Last NPPES UpdateMarch 13, 20242 updates tracked since enumeration

NPPES CertifiedMarch 13, 2024

✔ NPI 1265004667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers

Taxonomy Code332800000X

Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

10109 E 79TH ST, Tulsa, OK 74133

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Other Names 1

Doing Business AsCouncil Oak Comprehensive Health Pharmacy

Other Identifiers 1

Medicaid100699980KOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Council Oak Comprehensive Health Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateOklahomaEnrollment IDO20231211003192DME · Indian Health Service or Tribal FacilityDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANDREA S. WALL ACNP

Nurse Practitioner (Acute Care)