CITIZEN POTAWATOMI NATION WEST CLINIC
NPI 1598053993
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Shawnee, OK

Q: What is Citizen Potawatomi Nation West Clinic'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 19, 2011

781 GRAND CASINO BLVD, SHAWNEE, OK 74804(405) 964-5770(405) 964-5785 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Citizen Potawatomi Nation West Clinic NPPES

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

CITIZEN POTAWATOMI NATION WEST CLINIC (NPI 1598053993) 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 July 2011. The organization lists Aubry Bennett, Business Office Coordinator, as its authorized official.

NPPES Registry Identity

NPI1598053993

Entity TypeOrganization

Primary Taxonomy332800000X

Legal Business NameCITIZEN POTAWATOMI NATION WEST CLINIC

Location Address781 GRAND CASINO BLVDShawnee, OK 74804-1005

Mailing Address781 Grand Casino BlvdShawnee, OK 74804-1005 · (405) 964-5770 · Fax (405) 964-5785

Phone(405) 964-5770

Fax(405) 964-5785

Organization SubpartNo

Authorized OfficialAubry BennettBusiness Office Coordinator · (405) 964-4025

Enumeration DateJuly 19, 2011

Last NPPES UpdateMay 18, 2026

NPPES CertifiedMay 18, 2026

✔ NPI 1598053993 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

License✔ Licensed in OK · 105576

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.

781 GRAND CASINO BLVD, Shawnee, OK 74804

Open in Google Maps ↗

Other Identifiers 1

Medicaid100244300DOK

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 20

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

MISS MARY E ZIENTEK RN

Registered Nurse (Ambulatory Care)

781 GRAND CASINO BLVD, CITIZEN POTAWATOMI NATION HEALTH SERVICES
SHAWNEE, OK 74804

Pottawatomie County (405) 964-5770

JORDAN BENSON

Physical Therapist