{"npi":"1194803346","type":"NPI-2","status":"active","name":{"display":"Kickapoo Tribal Health Center","other":[],"organization_name":"KICKAPOO TRIBAL HEALTH CENTER","authorised_official":"Wayne Irion"},"specialty":{"primary_taxonomy":"332800000X","primary_taxonomy_description":"Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy","slug":"indian-health-service-tribal-urban-indian-health-i-t-u-pharmacy","schema_org_specialty":null,"all":[{"code":"332800000X","description":"Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"105365 S. HWY 102","city":"MCLOUD","state":"OK","postal_code":"74851","country_code":"US","street_2":"BUILDING M","phone":"4059642081","fax":"4059647160"},{"purpose":"MAILING","street_1":"105365 S. HWY 102","city":"MCLOUD","state":"OK","postal_code":"74851","country_code":"US","street_2":"BUILDING M","phone":"4059642081","fax":"4059647160"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"3721809","state":"OK","issuer":"NABP"},{"type_code":"05","label":"Medicaid","value":"100245200A","state":"OK","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-11-02","last_updated":"2025-10-06","_meta":{"source":"NPPES","snapshot_date":"2025-10-06","doc_url":"https://findmynpi.com/api"}}