| NPI | 1265474662 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-06-11 |
| Last Updated | 2026-05-18 |
| Authorized Official | Aubry Bennett Business Office Coordinator Phone: 4059644025 |
| Mailing Address | 2307 Gordon Cooper Dr Ste A Shawnee, OK 74801-9007 United States Phone: (405) 273-5236 | Fax: (405) 878-4835 📍 View Map |
| Primary Practice Address | 2307 Gordon Cooper Dr Ste A Shawnee, OK 74801-9007 United States Phone: (405) 273-5236 | Fax: (405) 878-4835 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 2077052 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336M0002X – Pharmacy, Mail Order Pharmacy | OK | 10-5052 |
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About NPI 1265474662
Citizen Potawatomi Nation Mail Order Pharmacy is an organization registered in the CMS NPPES NPI Registry with NPI number 1265474662. The primary specialty listed is Pharmacy, Mail Order Pharmacy. The organization is located in Shawnee, OK. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1265474662?
NPI 1265474662 belongs to Citizen Potawatomi Nation Mail Order Pharmacy, a Pharmacy, Mail Order Pharmacy in Shawnee, OK. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1265474662 active?
The current status of NPI 1265474662 in the NPPES registry is Active. The record was last updated on 2026-05-18.
What specialty is NPI 1265474662?
NPI 1265474662 is classified under the taxonomy Pharmacy, Mail Order Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1265474662?
You can verify NPI 1265474662 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1265474662?
The primary practice address on file for NPI 1265474662 is 2307 Gordon Cooper Dr Ste A, Shawnee, OK 74801-9007. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1265474662 issued?
NPI 1265474662 was first issued (enumerated) on 2006-06-11. The NPPES record was last updated on 2026-05-18.
Practice Location Map
Citizen Potawatomi Nation Mail Order Pharmacy is located at 2307 Gordon Cooper Dr Ste A, Shawnee, OK. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Citizen Potawatomi Nation Mail Order Pharmacy. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1265474662. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Mail Order Pharmacy | 10-5052 | OK |