Mashantucket Pequot Tribal

Organization Active
NPI 1720024524
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Mashantucket, CT

NPI 1720024524 belongs to Mashantucket Pequot Tribal, an indian health service/tribal/urban indian health (i/t/u) pharmacy with a practice location in Mashantucket, CT. The NPI was issued on June 21, 2006, and the record was last updated in NPPES on April 16, 2025. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary 332800000X Not listed
Pharmacy 333600000X Not listed
Mail Order Pharmacy 3336M0002X Not listed

Practice location

1 Annie George Drive
Bldg 1
Mashantucket, CT 06338-3801
Phone: (860) 396-6435

Local context

Active NPPES records list 3 providers with indian health service/tribal/urban indian health (i/t/u) pharmacy as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 3 in Connecticut and 367 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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