Jicarilla Ihs Pharmacy in Cleveland - Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Jicarilla Ihs Pharmacy - NPI 1124220900
Jicarilla Ihs Pharmacy is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Cleveland, Ohio. Jicarilla Ihs Pharmacy practices all healthcare services and medical treatments related to Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The NPI Number for Jicarilla Ihs Pharmacy is 1124220900. The last update date is 2023-03-02.
Jicarilla Ihs Pharmacy's current location address is Po Box 95447, Cleveland, Ohio. You can contact this provider via phone number 5757593291 and fax number 5757593532. The mailing address for Jicarilla Ihs Pharmacy is Po Box 95447, Cleveland, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jicarilla Ihs Pharmacy |
|---|---|
| Address | Po Box 95447, Cleveland, Ohio |
| Phone Number | 5757593291 |
| Fax Number | 5757593532 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACY P |
|---|---|
| Authorized Official Name | Cummings James |
| Credentials | PHARMD |
| Telephone Number | 4059516086 |
NPI Number Detail
| NPI Number | 1124220900 |
|---|---|
| Provider Enumeration Date | 2007-06-04 |
| Last Updated Date | 2023-03-02 |
Provider Mailing Address Detail
| Address | Po Box 95447 |
|---|---|
| City | Cleveland |
| State | Ohio (OH) |
| Post Code | 441010033 |
| Phone Number | 5757593291 |
| Fax Number | 5757593532 |
Provider's Primary Taxonomy Detail
| Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
|---|---|
| Taxonomy | 332800000X |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000K3526 | NM | -- | |
| 3210248 | NCPDP PROVIDER IDENTIFICATION |
Post Comment/ Review Below
What is the unique identifier code issued to Jicarilla Ihs Pharmacy by the Centers for Medicare & Medicaid Services?
The Jicarilla Ihs Pharmacy has been assigned the NPI (National Provider Identifier) 1124220900. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jicarilla Ihs Pharmacy's facilities are situated?
The facilities of Jicarilla Ihs Pharmacy are physically located at the following address: Po Box 95447, Cleveland, OH, 441010033.
What is Jicarilla Ihs Pharmacy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jicarilla Ihs Pharmacy's specialized field of practice is Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 332800000X.
On what date did the Jicarilla Ihs Pharmacy receive the assignment of its 1124220900 from the Centers for Medicare & Medicaid Services?
The Jicarilla Ihs Pharmacy was issued its 1124220900 by the Centers for Medicare & Medicaid Services on 2007-06-04.
When was the information regarding Jicarilla Ihs Pharmacy, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jicarilla Ihs Pharmacy, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-02.
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