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Mohegan Tribe of Indians of Ct

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Uncasville, CT · enumerated 2012 · authorized official Debra Maxeiner, Deputy Chief of Staff, Ops&Admin.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1326313677

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Registry record

Entity type Organization (Type 2)
Legal business name Mohegan Tribe of Indians of Ct
Other name <Unavail>
Practice address 67 Sandy Desert Rd, Uncasville, CT, 06382
Phone (855) 664-4679
Fax (860) 862-9099
Enumeration date Mar 20, 2012
Last updated in NPPES Jun 18, 2019

Taxonomy & classification

332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers · License PCY.0001934 (CT) Secondary
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers · License 22-102271 (KS) Secondary
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers · License NRX0000432 (DC) Secondary
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers · License OSP.0006230 (CO) Secondary
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers · License 2013044792 (MO) Secondary
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers · License 14964/7.1 (MS) Secondary
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers · License PHY.007550-NR (LA) Secondary
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers · License PHNR001180 (GA) Secondary
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers · License PH26952 (FL) Secondary
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers · License 114286 (AL) Primary
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers · License 54.018477 (IL) Secondary
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers · License PHA-MOP-LIC-25328 (MT) Secondary
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers · License PMP-959 (HI) Secondary
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers · License NRP-1530 (CA) Secondary
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers · License MO40001384 (ME) Secondary

Authorized official

Name Debra Maxeiner
Title Deputy Chief of Staff, Ops&Admin
Phone (860) 862-6343

Other identifiers

Identifier Type State Issuer
2135247 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-06-18. Verify at npiregistry.cms.hhs.gov.
Where is Mohegan Tribe of Indians of Ct located?
The practice location on file with NPPES is in Uncasville, CT.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-06-18.