PRAIRIE BAND POTAWATOMI NATION
NPI 1952323958
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Mayetta, KS

Q: What is Prairie Band Potawatomi Nation's NPI number?

The NPI number for Prairie Band Potawatomi Nation is 1952323958. It was assigned to this organization in the NPPES registry on July 25, 2006.

Q: What is Prairie Band Potawatomi Nation'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 25, 2006

11400 158TH RD, MAYETTA, KS 66509(866) 727-6330(785) 966-8396 Get Directions Write a Review

NPPES record last updated: January 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 17, 2018, Sep 15, 2016 (2 updates tracked since 2016).

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About Prairie Band Potawatomi Nation NPPES

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

PRAIRIE BAND POTAWATOMI NATION (NPI 1952323958) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Mayetta, Kansas and active in the NPI registry since July 2006. The organization lists Mike Carpenter, Chief Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1952323958

Entity TypeOrganization

Primary Taxonomy332800000X

Legal Business NamePRAIRIE BAND POTAWATOMI NATION

Location Address11400 158TH RDMayetta, KS 66509-8866

Mailing Address11400 158th RdMayetta, KS 66509-0249 · (785) 966-8200 · Fax (785) 966-8396

Phone(866) 727-6330

Fax(785) 966-8396

Organization SubpartYes

Authorized OfficialMike CarpenterChief Pharmacist · (785) 966-8266

Enumeration DateJuly 25, 2006

Last NPPES UpdateJanuary 23, 20182 updates tracked since enumeration

✔ NPI 1952323958 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 KS · 2-2546

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.

11400 158TH RD, Mayetta, KS 66509

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Other Identifiers 2

Medicaid200259300BKS

Other2027266Pk

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 18

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

CHARLES G BEALS D.D.S

Dentist (General Practice)