1. Home
  2. Directory
  3. Oklahoma
  4. Ardmore
  5. Indian Health Service Tribal Urban Indian Health I T U Pharmacy
  6. NPI Profile

ARDMORE INDIAN CLINIC PHARMACY
NPI 1669597027
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Ardmore, OK

Active since March 21, 2007CLIA 37D2062116 · Waiver
2510 CHICKASAW BLVD, ARDMORE, OK 73401(580) 272-5710(580) 272-5711 Get Directions Write a Review

NPPES record last updated: August 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ardmore Indian Clinic Pharmacy NPPES

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

ARDMORE INDIAN CLINIC PHARMACY (NPI 1669597027) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Ardmore, Oklahoma and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through July 9, 2027 and lists Zach Williams, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1669597027
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NameCHICKASAW NATION DIVISION OF HEALTH
Location Address2510 CHICKASAW BLVDArdmore, OK 73401-1341
Mailing Address1921 Stonecipher DrAda, OK 74820-3439 · (580) 421-4597 · Fax (580) 421-4598
Phone(580) 272-5710
Fax(580) 272-5711
Organization SubpartNo
Authorized OfficialZach WilliamsPharmacist · (580) 272-5710
Enumeration DateMarch 21, 2007
Last NPPES UpdateAugust 19, 2016
✔ NPI 1669597027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
Taxonomy Code332800000X
License✔ Licensed in OK · 123425
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 ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
2510 CHICKASAW BLVD, Ardmore, OK 73401
Open in Google Maps ↗

Other Names 1

Doing Business AsArdmore Indian Clinic Pharmacy

Other Identifiers 2

Other2074770Pk
Medicaid100244600AOK

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 ›

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 Waiver 37D2062116

Ardmore Indian Health Clinic Pharmacy · Ardmore, OK
Active · expires Jul 9, 2027
CLIA Number37D2062116
Laboratory TypeIndian Clinic
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorLisa Sudderth
Laboratory Phone(580) 222-2833
Laboratory LocationArdmore Indian Health Clinic Pharmacy2510 Chickasaw Blvd, Ardmore, OK 73401
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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.

DAVID HARRIS DDS
Dentist
2510 CHICKASAW BLVD
ARDMORE, OK 73401
Carter County (580) 226-8181
RITA ROBERTS
Pharmacy Technician
2510 CHICKASAW BLVD
ARDMORE, OK 73401
Carter County (580) 226-8181
LOREE DRESSER
Pharmacy Technician
2510 CHICKASAW BLVD
ARDMORE, OK 73401
Carter County (580) 226-8181
MS. LISA KAYE DAVIS APRN, FNP-C
Nurse Practitioner (Family)
2510 CHICKASAW BLVD
ARDMORE, OK 73401
Carter County (580) 226-8181
KELLY HERROD
Pharmacy Technician
2510 CHICKASAW BLVD
ARDMORE, OK 73401
Carter County (580) 226-8181
HEATHER RHYNES PTA
Physical Therapy Assistant
2510 CHICKASAW BLVD
ARDMORE, OK 73401
Carter County (580) 226-8181
LUCILLE WAY ARNP
Nurse Practitioner
2510 CHICKASAW BLVD
ARDMORE, OK 73401
Carter County (580) 226-8181
JORDYN ANN STEFFEN
Physician Assistant (Medical)
2510 CHICKASAW BLVD
ARDMORE, OK 73401
Carter County (580) 226-8181

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 Chickasaw Nation Division Of Health's NPI number?

The NPI number for Chickasaw Nation Division Of Health is 1669597027. It was assigned to this organization in the NPPES registry on March 21, 2007. The provider is doing business as Ardmore Indian Clinic Pharmacy.

Where is Chickasaw Nation Division Of Health located?

Chickasaw Nation Division Of Health is located at 2510 Chickasaw Blvd, Ardmore, OK 73401. The listed phone number is (580) 272-5710.

What is Chickasaw Nation Division Of Health'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.

Does Chickasaw Nation Division Of Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2062116) is associated with this NPI, valid through July 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Chickasaw Nation Division Of Health 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 47 other insurers list Chickasaw Nation Division Of Health 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 Chickasaw Nation Division Of Health was last updated on August 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.