Mashantucket Pequot Tribal
NPI 1003036435 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Mashantucket, CT
Mashantucket Pequot Tribal is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy organization in Mashantucket, CT (NPI 1003036435).
Provider details
- NPI number
- 1003036435
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Edward Moldenhauer, Director of Pharmacy Operation(860) 396-2058
Specialties & taxonomies
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyPrimary332800000XLicense ISH285960015 (CT)
Suppliers
- Mail Order Pharmacy3336M0002X
Suppliers
- Managed Care Organization Pharmacy3336M0003X
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pequot Health Care
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2011-04-01
Frequently asked questions
- What is Mashantucket Pequot Tribal's NPI number?
- Mashantucket Pequot Tribal's National Provider Identifier (NPI) is 1003036435, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mashantucket Pequot Tribal?
- Mashantucket Pequot Tribal is classified in the NPPES registry as Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Suppliers).
- Where is Mashantucket Pequot Tribal located?
- Mashantucket Pequot Tribal's practice location on file with NPPES is 1 Annie George Dr, Mashantucket, CT 06338-3801.
- What is Mashantucket Pequot Tribal's phone number?
- The practice phone number listed in the NPPES registry for Mashantucket Pequot Tribal is (860) 396-6438.
- Who is the authorized official for Mashantucket Pequot Tribal?
- The authorized official listed on Mashantucket Pequot Tribal's NPPES record is Edward Moldenhauer, Director of Pharmacy Operation. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mashantucket Pequot Tribal's NPI active?
- Yes — Mashantucket Pequot Tribal's NPI (1003036435) is active in the NPPES registry as of the last update on 2011-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.