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SOUTHSHORE TRIBAL HEALTH PHARMACY
NPI 1376289322
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Clearlake, CA

Active since May 11, 2022
14440 OLYMPIC DRIVE, SUITE B, CLEARLAKE, CA 95422(707) 263-8382(707) 263-5019 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2024, May 11, 2022 (2 updates tracked since 2022).

About Southshore Tribal Health Pharmacy NPPES

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

SOUTHSHORE TRIBAL HEALTH PHARMACY (NPI 1376289322) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Clearlake, California and active in the NPI registry since May 2022. The organization lists Thomas Burnett, It Specialist, as its authorized official.

NPPES Registry Identity

NPI1376289322
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NameSOUTHSHORE TRIBAL HEALTH PHARMACY
Location Address14440 OLYMPIC DRIVE, SUITE BClearlake, CA 95422-9545
Mailing Address925 Bevins CtLakeport, CA 95453-9754 · (707) 263-8382 · Fax (707) 263-5019
Phone(707) 263-8382
Fax(707) 263-5019
Organization SubpartYesParent: Lake County Tribal Health Consortium Inc.
Authorized OfficialThomas BurnettIt Specialist · (707) 263-8382
Enumeration DateMay 11, 2022
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1376289322 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.
14440 OLYMPIC DRIVE, Clearlake, CA 95422
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Accepted Insurance

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

Other Providers at the Same Location NPPES 3

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

LAKE COUNTY TRIBAL HEALTH SOUTHSHORE CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
14440 OLYMPIC DRIVE
CLEARLAKE, CA 95422
Lake County (707) 263-8382
SIAMAK SAHAND DMD
Dentist
14440 OLYMPIC DRIVE
CLEARLAKE, CA 95422
Lake County (707) 263-8383
TRACY M HAZELTON PA-C
Physician Assistant (Medical)
14440 OLYMPIC DRIVE
CLEARLAKE, CA 95422
Lake County (707) 263-8383

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southshore Tribal Health Pharmacy's NPI number?

The NPI number for Southshore Tribal Health Pharmacy is 1376289322. It was assigned to this organization in the NPPES registry on May 11, 2022.

Where is Southshore Tribal Health Pharmacy located?

Southshore Tribal Health Pharmacy is located at 14440 Olympic Drive Suite B, Clearlake, CA 95422. The listed phone number is (707) 263-8382.

What is Southshore Tribal Health Pharmacy'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.

What insurance does Southshore Tribal Health Pharmacy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 43 other insurers list Southshore Tribal Health Pharmacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southshore Tribal Health Pharmacy was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.