Prairie Band Potawatomi Nation
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
11400 158th Rd, Mayetta
Kansas, 66509-8866
866-727-6330 785-966-8396
Prairie Band Potawatomi Nation is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Mayetta, Kansas. This organization is also known as sub part of Prairie Band Potawatomi Nation. It is located at 11400 158th Rd, Mayetta and it's customer support contact number is 866-727-6330. The authorized person of Prairie Band Potawatomi Nation is Mike Carpenter, RPH who is Chief Pharmacist of the pharmacy and his contact number is 785-966-8266. Active license number of Prairie Band Potawatomi Nation is 2-2546 for Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Kansas.
Prairie Band Potawatomi Nation is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Pharmacy Details:
Prairie Band Potawatomi Nation type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Prairie Band Potawatomi Nation |
| Type: | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
| Location: | 11400 158th Rd, Mayetta,
Kansas, 66509-8866 |
| Phone: | 866-727-6330 |
| Fax: | 785-966-8396 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mike Carpenter |
| Credentials: | RPH |
| Position: | Chief Pharmacist |
| Contact Number: | 785-966-8266 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1952323958 |
| Parent Organization: | Prairie Band Potawatomi Nation |
| NPI Enumeration Date: | 25 Jul, 2006 |
| NPI Last Update On: | 23 Jan, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prairie Band Potawatomi Nation are as mentioned below.
| Specialization | License Number | State | Status | |
| Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | 2-2546 | Kansas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2027266 | Other | | Pk |
| 200259300B | Medicaid | Kansas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 11400 158th Rd,
Mayetta, Kansas |
| Zip: | 66509-0249 |
| Phone Number: | 785-966-8200 |
| Fax Number: | 785-966-8396 |
Patients can reach Prairie Band Potawatomi Nation at
11400 158th Rd, Mayetta, Kansas or can
call on customer care at 866-727-6330.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.