TISHOMINGO INDIAN CLINIC PHARMACY
NPI 1750406757
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Tishomingo, OK

Active since March 20, 2007CLIA 37D2064290 · Waiver
817 E 6TH ST, TISHOMINGO, OK 73460(580) 371-2392(580) 421-4552 Get Directions Write a Review

NPPES record last updated: February 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tishomingo Indian Clinic Pharmacy NPPES

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

TISHOMINGO INDIAN CLINIC PHARMACY (NPI 1750406757) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Tishomingo, Oklahoma and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 16, 2027 and lists Zach Williams, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1750406757
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NameCHICKASAW NATION DIVISION OF HEALTH
Location Address817 E 6TH STTishomingo, OK 73460-1800
Mailing Address1921 Stonecipher DrAda, OK 74820-3439 · (580) 421-4597 · Fax (580) 421-4598
Fax(580) 421-4552
Organization SubpartNo
Authorized OfficialZach WilliamsPharmacist · (580) 272-2710
Enumeration DateMarch 20, 2007
Last NPPES UpdateFebruary 10, 2015
NPI 1750406757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code332800000X
License Licensed in OK · 61-6174
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
817 E 6TH ST, Tishomingo, OK 73460

Other Names 1

Doing Business AsTishomingo Indian Clinic Pharmacy

Other Identifiers 2

Medicaid100244600BOK
Other2074771Pk

Accepted 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 37D2064290

Tishomingo Indian Health Clinic Pharmacy · Tishomingo, OK
Active · expires Aug 16, 2027
CLIA Number37D2064290
Laboratory TypePharmacy
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorJason Gray
Laboratory Phone(580) 371-2362
Laboratory LocationTishomingo Indian Health Clinic Pharmacy817 East 6th St, Tishomingo, OK 73460
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.

Counselor (Mental Health)
817 E 6TH ST
TISHOMINGO, OK 73460
Physical Medicine & Rehabilitation
817 E 6TH ST
TISHOMINGO, OK 73460
Nurse Practitioner
817 E 6TH ST
TISHOMINGO, OK 73460
Physical Therapy Assistant
817 E 6TH ST
TISHOMINGO, OK 73460
General Practice
817 E 6TH ST
TISHOMINGO, OK 73460
Pharmacist
817 E 6TH ST
TISHOMINGO, OK 73460
Registered Nurse (Community Health)
817 E 6TH ST
TISHOMINGO, OK 73460
Physician Assistant (Medical)
817 E 6TH ST
TISHOMINGO, OK 73460

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 1750406757. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is doing business as Tishomingo Indian Clinic Pharmacy.

Where is Chickasaw Nation Division Of Health located?

Chickasaw Nation Division Of Health is located at 817 E 6th St, Tishomingo, OK 73460. The listed phone number is (580) 371-2392.

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 37D2064290) is associated with this NPI, valid through August 16, 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 February 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.