Active NPIOrganization

Mohegan Tribe Of Indians Of CT

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Uncasville, Connecticut

NPI Number1326313677
Practice location
67 Sandy Desert RD, Uncasville, CT 06382-1111
Fax
860-862-9099
Last updated
June 18, 2019

Mohegan Tribe Of Indians Of CT is a healthcare organization based in Uncasville, CT. Mohegan Tribe Of Indians Of CT practices in Uncasville, CT. The NPI Number for Mohegan Tribe Of Indians Of CT is 1326313677 and holds a License No. PCY.0001934 (CT). The current practice location address for Mohegan Tribe Of Indians Of CT is 67 Sandy Desert RD, Uncasville, CT 06382-1111 and can be reached out via phone at 855-664-4679 and via fax at 860-862-9099.

Provider Profile Details

NPI Number
1326313677
Provider Name
Mohegan Tribe Of Indians Of CT
Provider Entity Type
Organization
Address
67 Sandy Desert RD, Uncasville, CT 06382-1111
Phone Number
855-664-4679
Fax Number
860-862-9099
Organization Subpart
No
Authorized Official
Debra Maxeiner · Deputy Chief Of Staff, Ops&admin · 860-862-6343
Other Names
Mohegan Pharmacy (Doing Business As)
Provider Enumeration Date
March 20, 2012
Last Update Date
June 18, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
67 Sandy Desert RD
Uncasville, CT 06382-1111
Zip
06382-1111
Phone Number
855-664-4679
Fax Number
860-862-9099
Uncasville, CT 06382Get directions →

Provider Business Mailing Address Details

Address
67 Sandy Desert RD
Uncasville, CT 06382-1111
City
Uncasville
State
CT
Zip
06382-1111
Phone Number
855-664-4679
Fax Number
860-862-9099

License Information

License Number (1)
PCY.0001934
License State (1)
CT
License Number (2)
22-102271
License State (2)
KS
License Number (3)
NRX0000432
License State (3)
DC
License Number (4)
OSP.0006230
License State (4)
CO
License Number (5)
2013044792
License State (5)
MO
License Number (6)
14964/7.1
License State (6)
MS
License Number (7)
PHY.007550-NR
License State (7)
LA
License Number (8)
PHNR001180
License State (8)
GA
License Number (9)
PH26952
License State (9)
FL
License Number (10)
54.018477
License State (10)
IL
License Number (11)
PHA-MOP-LIC-25328
License State (11)
MT
License Number (12)
PMP-959
License State (12)
HI
License Number (13)
NRP-1530
License State (13)
CA
License Number (14)
MO40001384
License State (14)
ME
License Number (15)
114286
License State (15)
AL

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mohegan Tribe Of Indians Of CT?

The NPI number of Mohegan Tribe Of Indians Of CT is 1326313677. It was assigned on March 20, 2012 and is currently active in the NPPES registry.

What is the specialty of Mohegan Tribe Of Indians Of CT?

Mohegan Tribe Of Indians Of CT is registered under the primary taxonomy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (code 332800000X), licensed in CT under license number PCY.0001934.

Where does Mohegan Tribe Of Indians Of CT practice?

The practice location is 67 Sandy Desert RD, Uncasville, CT 06382-1111. The office can be reached at 855-664-4679 (phone) or 860-862-9099 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326313677 directly on the NPPES registry website.

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