OrganizationActive
Northeastern Tribal Health System
NPI 1639267065 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Miami, OK
Provider details
- NPI number
- 1639267065
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Parent organization
- Northeastern Tribal Health System
- Organization subpart
- Yes
- Authorized official
- Sharon Dawes, Health Program Director(918) 542-1655
- License
- 21-4318 (OK)
Specialties & taxonomies
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyPrimary332800000XLicense 21-4318 (OK)
Suppliers
Profile Score
Detailed profile(90/100 index)
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
7600 S Highway 69a
Miami, OK 74354-1016
Phone: (918) 542-1655
Fax: (918) 540-1685
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1498
Miami, OK 74355-1498
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2012-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.