Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prairie Band Potawatomi Nation

Organization Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · NPI 1952323958

Prairie Band Potawatomi Nation is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Mayetta, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006

Practice location Address checks out

11400 158th Rd
Mayetta, KS 66509-8866
Phone: (866) 727-6330
Fax: (785) 966-8396
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (primary) Taxonomy 332800000X · Licence 2-2546 (KS)

Record details

NPI number1952323958
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPrairie Band Potawatomi Nation
Authorized official Mike Carpenter — Chief Pharmacist · (785) 966-8266
NPI enumeratedJuly 25, 2006
Last updated in NPPESJanuary 23, 2018
Mailing address11400 158th Rd, Mayetta, KS 66509-0249