MCLD CORPORATION (NPI# 1003982315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003982315 |
| Entity Type | Organization |
| Organization Name | MCLD CORPORATION |
| Other Organization Name | STAR DRUG |
| Practice Address |
517 Court St Williamsburg IA 52361 |
| Mailing Address |
209 2nd St Se Cedar Rapids IA 52401-1405 |
| Practice Telephone | 3196681520 |
| Practice Fax Number | 3196688178 |
| Mailing Telephone | 3192211050 |
| Mailing Fax Number | 3192211033 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2014-08-13 |
| Authorized Official Name | CHRISTOPHER TUETKEN (OWNER) |
| Authorized Official Telephone | 3192211050 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
583 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0021725 | 05 | |
| PK | 2026820 | 01 |
| Other Name | Type Code |
|---|---|
| STAR DRUG | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609041128 | Mcld Corporation | Durable Medical Equipment & Medical Supplies | 104 W Mission St, Strawberry Point, IA 52076 | 2008-04-25 |
| 1588867998 | Mcld Corporation | Pharmacy | 207 2nd Ave Se Ste B, Cedar Rapids, IA 52401-1238 | 2007-06-06 |
| 1093866071 | Mcld Corporation | Durable Medical Equipment & Medical Supplies | 207 2nd Avenue Se Ste A, Cedar Rapids, IA 52403 | 2007-01-16 |
| 1114963576 | Mcld Corporation | Pharmacy | 209 2nd St Se, Cedar Rapids, IA 52401-1405 | 2006-06-22 |
| 1609865369 | Mcld Corporation | Durable Medical Equipment & Medical Supplies | 810 12th St, Belle Plaine, IA 52208-1709 | 2005-10-17 |
| 1023007788 | Mcld Corporation | Durable Medical Equipment & Medical Supplies | 156 W Main St, Wyoming, IA 52362-7748 | 2005-10-17 |
| 1134117005 | Mcld Corporation | Durable Medical Equipment & Medical Supplies | 419 E 1st St, Monticello, IA 52310-1506 | 2005-10-13 |
| 1942298807 | Mcld Corporation | Pharmacist | 517 Court Street, Williamsburg, IA 52361 | 2005-10-13 |
| 1073501938 | Mcld Corporation | Pharmacy | 205 Washington St, Victor, IA 52347 | 2005-10-13 |
| 1063687580 | Mcld Corporation | Durable Medical Equipment & Medical Supplies | 100 E 1st St, Sumner, IA 50674-1430 | 2008-04-25 |
| Street Address |
517 COURT ST |
| City | WILLIAMSBURG |
| State | IA |
| Zip Code | 52361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134743537 | Jacie Ann Henderson | Pharmacist | 517 Court St, Williamsburg, IA 52361-9429 | 2020-06-01 |
| 1205450616 | Elisha Andreas | Pharmacist | 517 Court St, Williamsburg, IA 52361-9429 | 2020-06-01 |
| 1154492940 | Amanda K Deaner | Pharmacist | 517 Court St, Williamsburg, IA 52361 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839307 | Dean A Dirksen | Marriage & Family Therapist | 523 1/2 Court St., Williamsburg, IA 52361 | 2020-10-20 |
| 1063955748 | Sharon Thomsen | Marriage & Family Therapist | 523-1/2 Court St., Williamsburg, IA 52361 | 2016-11-29 |
| 1588958516 | Midwest Counseling, LLC | Community/Behavioral Health | 523 1/2 Court Street, Williamsburg, IA 52361 | 2011-06-07 |
| 1144459736 | Ryan Lee Striegel | Optometrist | 519 Court St, Williamsburg, IA 52361 | 2009-07-06 |
| 1396872966 | Stacy Darnold | Physical Therapist | 518 Elm Street, Williamsburg, IA 52361 | 2007-02-28 |
| 1255444006 | Highland Ridge Care Center, LLC | Nursing Facility/Intermediate Care Facility | 102 Highland Circle, Williamsburg, IA 52361 | 2006-08-16 |
| 1326019845 | Larry D Koenig | Chiropractor | 502 Elm St, Williamsburg, IA 52361 | 2006-02-01 |
| 1942298807 | Mcld Corporation | Pharmacist | 517 Court Street, Williamsburg, IA 52361 | 2005-10-13 |
| 1841836251 | Williamsburg Dental Health Clinic Inc | Durable Medical Equipment & Medical Supplies | 827 S Highland St, Williamsburg, IA 52361 | 2019-11-20 |
| 1104477264 | Kristina Gingerich | Counselor | 523 1/2 Court St, Williamsburg, IA 52361 | 2019-09-20 |
| Find all providers in zip 52361 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538644166 | The Prescription Shoppe LLC | Pharmacy | 5223 Monticello Ave Ste C, Williamsburg, VA 23188-8236 | 2018-09-29 |
| 1336473024 | Harris Teeter, LLC | Pharmacy | 1470 Quarterpath Rd, Williamsburg, VA 23185-6500 | 2009-09-28 |
| 1427141019 | Fitzgerald & Huling Pharmacy Inc | Pharmacy | 305 West Main, Williamsburg, OH 45176 | 2006-10-02 |
| 1922020601 | Virginia Cvs Pharmacy LLC | Pharmacy | 4630 Monticello Ave, Williamsburg, VA 23188-8200 | 2006-07-24 |
| 1811988298 | Jamestown Pharmacy Care Center | Pharmacy | 1781 Jamestown Rd, Ste 160, Williamsburg, VA 23185-2363 | 2005-11-03 |
| 1043831761 | Williamsburg Pharmacy Inc | Pharmacy | 318 E 1st St, Williamsburg, PA 16693-1006 | 2020-05-04 |
| 1811517725 | Windham Drug North, Inc | Pharmacy | 475 N Highway 25 W, Williamsburg, KY 40769-1576 | 2020-04-21 |
| 1245637529 | Hartig Drug Co Corp | Pharmacy | 517 Court Street, Williamsburg, IA 52361 | 2014-12-02 |
| 1861528499 | Williamsburg Pharmacy Inc | Pharmacy | 327 Main St, Williamsburg, KY 40769-1123 | 2007-02-26 |
| 1477688646 | Whitley Pharmacy, Inc. | Pharmacy | 475 N Highway 25 W, Suite 101, Williamsburg, KY 40769-1576 | 2007-02-21 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 52361 |
Please comment or provide details below to improve the information on MCLD CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.