OrganizationActive
Cherokee Nation
NPI 1417090820 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Jay, OK
Provider details
- NPI number
- 1417090820
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Michelle Graham, Dir., Health Education & Staff Dev(539) 234-1977
Specialties & taxonomies
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyPrimary332800000XLicense 45-7549 (OK)
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Practice location
859 E. Melton Drive
Jay, OK 74346
Phone: (918) 253-1780
Fax: (918) 253-3812
Approximate (ZIP-level) locationGet directions
Mailing address
Cherokee Nation
Tulsa, OK 74182-0001
Other names (DBA / former)
- Doing business as
- Sam Hider Health Center Rx
- Doing business as
- Sam Hider Health Center Rx
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2022-11-15
- Certified
- 2022-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.