Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC.
NPI 1356915144
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Shawnee, OK

Q: What is Absentee Shawnee Tribal Health Authority, Inc.'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 May 17, 2021CLIA 37D1092055 · Certificate of Compliance

2029 GORDON COOPER DR, SHAWNEE, OK 74801(405) 878-5850 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2026, Jul 21, 2026, May 17, 2021 (3 updates tracked since 2021).

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About Absentee Shawnee Tribal Health Authority, Inc. NPPES

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

ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC. (NPI 1356915144), doing business as Absentee Shawnee Pharmacy, is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Shawnee, Oklahoma and active in the NPI registry since May 2021. The organization holds a CLIA Certificate of Compliance certificate valid through February 19, 2027 and lists Marty Lofgren, Executive/ Medical Director, as its authorized official.

NPPES Registry Identity

NPI1356915144

Entity TypeOrganization

Primary Taxonomy332800000X

Legal Business NameABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC.

Location Address2029 GORDON COOPER DRShawnee, OK 74801-9005

Mailing Address15951 Little Axe DrNorman, OK 73026-9088 · (405) 447-0300 · Fax (405) 701-7631

Phone(405) 878-5850

Organization SubpartNo

Authorized OfficialMarty LofgrenExecutive/ Medical Director · (405) 447-0300

Enumeration DateMay 17, 2021

Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration

NPPES CertifiedAugust 12, 2026

✔ NPI 1356915144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

2029 GORDON COOPER DR, Shawnee, OK 74801

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Other Names 1

Doing Business AsAbsentee Shawnee Pharmacy

Other Identifiers 1

Medicaid100699860QOK

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 37D1092055

Absentee Shawnee Tribal Health System - Shawnee Clinic · Shawnee, OK

Active · expires Feb 19, 2027

CLIA Number37D1092055

Laboratory TypeOther

Certificate Effective DateFebruary 20, 2025

Certificate Expiration DateFebruary 19, 2027

Laboratory DirectorMarty Lofgren

Laboratory Phone(405) 878-5850

Laboratory LocationAbsentee Shawnee Tribal Health System - Shawnee Clinic2029 S Gordon Cooper Dr, Building 17, Shawnee, OK 74801

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 17

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

DR. MONIKA DURSKA-KELLER MD

Family Medicine