OrganizationActive
Chickasaw Nation Division of Health
NPI 1669597027 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Ardmore, OK
Provider details
- NPI number
- 1669597027
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Zach Williams, Pharmacist(580) 272-5710
Specialties & taxonomies
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyPrimary332800000XLicense 123425 (OK)
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(89/100 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
2510 Chickasaw Blvd
Ardmore, OK 73401-1341
Phone: (580) 272-5710
Fax: (580) 272-5711
Street-level locationGet directions
Mailing address
1921 Stonecipher Dr
Ada, OK 74820-3439
Other names (DBA / former)
- Doing business as
- Ardmore Indian Clinic Pharmacy
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2016-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.