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Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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NPI 1790795888
● Active Type 2 · Organization
Nez Perce Tribal Health Authority
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Lapwai, ID · NPI 1790795888
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Enumerated 2006 · 19 years on NPI
Nez Perce Tribal Health Authority is 1 of 6 indian health service/tribal/urban indian health (i/t/u) pharmacy organizations in Idaho.
NPI age
19 years
Enumerated 2006-08-09
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Plus 1 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Hartwig
Medical Director
Last NPPES update
2022-07-22
Source: monthly bulk 2026-05
How this organization compares
Across 6 active indian health service/tribal/urban indian health (i/t/u) pharmacy providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
2
1 secondary on file
Subspecialties
1
In the 16% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-08 Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
111 Bever Grade, Nimiipuu Health
Lapwai, ID 835400367
📞 2088432271 fax 2086214995
Mailing address
Po Box 367
Lapwai, ID 835400367
📞 2088432271 fax 2086214995
Additional practice locations
1 secondary location on file with NPPES.
Location 2
313 3rd Street
Kamiah, ID 83536
📞 2089350733
Authorized official
R. Kim Hartwig, MD
Medical Director
📞 2088432271
Individual providers at this organization
20 individual providers on file at this primary practice address.
Dora Axtell , LCSW
Social Worker
NPI 1215695804
Andrea Bentz , RT R
Radiologic Technologist
NPI 1497846240
Myra Campbell , LPC
Counselor
NPI 1396088282
Roberta Carr , PA-C
Physician Assistant
NPI 1306856547
Constancio Cleto , MT
Technician, Pathology
NPI 1215957139
James Collier , RT ARRT MA BS AS
Radiologic Technologist
NPI 1235143728
Marie Cooper , LPN
Licensed Practical Nurse
NPI 1649308750
Tyler Cowart , PHARMD
Pharmacist
NPI 1073922779
Consuelo Cruz , MED TECH
Technician, Pathology
NPI 1801816723
Susie Ellenwood , LPN
Licensed Practical Nurse
NPI 1033208582
Ramona Fraser , RN N24954
Registered Nurse
NPI 1073532271
Kiara Garcia , LMSW
Social Worker
NPI 1578283990
Crescentia Hills , MSW
Social Worker
NPI 1861706137
Lindsey Holt , MSW
Social Worker
NPI 1447564943
John Horstkamp , MD
Family Medicine
NPI 1932172723
Julie Keller , MS RD CDE
Nutritionist
NPI 1902816150
Jeanne Laws , RN CDE
Registered Nurse
NPI 1275543373
Mary Miles , CDSII
Counselor
NPI 1083923247
Sabrina Morton , LPN
Licensed Practical Nurse
NPI 1417976614
James Palerino , DMD
Dentist
NPI 1639191554
Specialties
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
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...
taxonomy 332800000X
Clinic/Center
Definition to come...
taxonomy 261QF0400X
Identifiers
Type Value Notes
05 (ID)
805010102
05 (ID)
805010100
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
Plus 1 secondary practice location.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.