✓ Licensed & Credentialed Suppliers — Indian Health Service — Tribal — Urban Indian Health (I — T — U) Pharmacy (332800000X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

DHHS PHS IHS PHOENIX AREA (NPI #1457486177)

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy • WINTERHAVEN, CA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1457486177
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
332800000X (CMS A9[12])
Licensed & Credentialed Suppliers — Indian Health Service — Tribal — Urban Indian Health (I — T — U) Pharmacy
Box 32 Service Location & ZIP+4
401 PICACHO RD, WINTERHAVEN, CA, 92283
Official NPPES Practice Location
Practice Phone & Referral Fax
Fax: (760) 572-4228
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1457486177 (DHHS PHS IHS PHOENIX AREA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1457486177 (NPI-2 Organization / Facility)
Provider / Legal NameDHHS PHS IHS PHOENIX AREA
Plain-English SpecialtyLicensed & Credentialed Suppliers — Indian Health Service — Tribal — Urban Indian Health (I — T — U) Pharmacy
NUCC Code: 332800000X (Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address401 PICACHO RD, WINTERHAVEN, CA, 92283
Practice Telephone / FaxTel: (760) 572-4742 | Fax: (760) 572-4228
Administrative Mailing AddressPO BOX 1368, YUMA, AZ, 85366
Enumeration & Last SyncEnumerated: 2007-02-22 | CMS Record Updated: 2023-02-15
Authorized OfficialTRISHA CHAMBERLAIN (Chief Executive Officer)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

401 PICACHO RD, WINTERHAVEN, CA, 92283

🗺️ Open in Google Maps 🏥 More Providers in WINTERHAVEN

Plain-English Taxonomy & CMS Crosswalk (332800000X)

What Does Taxonomy Code 332800000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 332800000X translates to:
"Licensed & Credentialed Suppliers — Indian Health Service — Tribal — Urban Indian Health (I — T — U) Pharmacy"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A9[12] (Indian Health Service facility[13])
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DHHS PHS IHS PHOENIX AREA)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
333600000X — Pharmacy
Plain English: Licensed & Credentialed Suppliers — Pharmacy
State: N/A | License: Verified | Primary: Secondary
332800000X — Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Plain English: Licensed & Credentialed Suppliers — Indian Health Service — Tribal — Urban Indian Health (I — T — U) Pharmacy
State: N/A | License: Verified | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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