Susanville Indian Rancheria
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
795 Joaquin St, Susanville
California, 96130-3628
530-257-8581 530-251-1846
Susanville Indian Rancheria is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Susanville, California. This organization is also known as sub part of Susanville Indian Rancheria. It is located at 795 Joaquin St, Susanville and it's customer support contact number is 530-257-8581. The authorized person of Susanville Indian Rancheria is Mr. Stacy Dixon who is Tribal Chairman of the pharmacy and his contact number is 530-257-6264. Active license number of Susanville Indian Rancheria is PHE47046 for Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in California.
Susanville Indian Rancheria 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:
Susanville Indian Rancheria 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: | Susanville Indian Rancheria |
| Type: | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
| Location: | 795 Joaquin St, Susanville,
California, 96130-3628 |
| Phone: | 530-257-8581 |
| Fax: | 530-251-1846 |
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: | Mr. Stacy Dixon |
| Position: | Tribal Chairman |
| Contact Number: | 530-257-6264 |
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: | 1053484998 |
| Parent Organization: | Susanville Indian Rancheria |
| NPI Enumeration Date: | 16 Nov, 2006 |
| NPI Last Update On: | 16 Jul, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susanville Indian Rancheria are as mentioned below.
| Specialization | License Number | State | Status | |
| Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | PHE47046 | California | 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 |
| PHA470460 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 795 Joaquin St,
Susanville, California |
| Zip: | 96130-3628 |
| Phone Number: | 530-257-8581 |
| Fax Number: | 530-251-1846 |
Patients can reach Susanville Indian Rancheria at
795 Joaquin St, Susanville, California or can
call on customer care at 530-257-8581.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.