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

NPI Status: Active since May 17, 2021

Contact Information

2029 GORDON COOPER DR
SHAWNEE, OK
ZIP 74801
Phone: (405) 878-5850

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Indian Health Service/Tribal/Urban India...
CLIA Number: 37D1092055
CLIA Cert. Type: Other
CLIA Exp. Date: 02-19-2027

About ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC.

This page provides the complete NPI Profile along with additional information for Absentee Shawnee Tribal Health Authority, Inc., a provider established in Shawnee, Oklahoma operating as a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The healthcare provider is registered in the NPI registry with number 1356915144 assigned on May 2021. The practitioner's primary taxonomy code is 332800000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Marty Lofgren Md, Cpe (Medical Director)

NPI: 1356915144
Provider Legal Name: ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC.
Other Organization Name
Other Name Type: (6)
Entity Type: Organization
Location Address: 2029 GORDON COOPER DR SHAWNEE, OK 74801
Location Phone: (405) 878-5850
Mailing Address: 15951 LITTLE AXE DR NORMAN, OK 73026
Mailing Phone: (405) 447-0300
Mailing Fax
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-17-2021
Last Update Date: 10-27-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Taxonomy Code: 332800000X
Type: Suppliers
Taxonomy Description: 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MARTY LOFGREN MD, CPE
Authorized Official Title: MEDICAL DIRECTOR
Authorized Official Phone: (405) 447-0300

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 37D1092055
Facility Type: Other
Certificate Effective Date: February 20, 2025
Certificate Expiration Date: February 19, 2027
Laboratory Director: MARTY LOFGREN
Certificate Type: Certificate of Compliance
Certificate Type Description: This CLIA certificate is issued to Absentee Shawnee Tribal Health Authority, Inc. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1356915144, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 10 → 1 + 0

Pos 4

Unchanged

Pos 5

Doubled → 18 → 1 + 8

Pos 6

Unchanged

Pos 7

Doubled → 10 → 1 + 0

Pos 8

Unchanged

Pos 9

Doubled → 8

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 9 → 18 → 9 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 0 + 6 + 1 + 8 + 1 + 1 + 0 + 1 + 8 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4

This NPI is valid

The calculated check digit is 4, which matches the last digit of 1356915144.