MCLD Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1281 Issued in IA

Legal business name

MCLD CORPORATION

Practice address

209 2ND St SE
Cedar Rapids, IA 52401-1405

Phone

(319) 221-1050

Fax

(319) 221-1033

NPI assigned

Jun 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Tuetken

Title

Owner

Phone

(319) 221-1050

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DOWNTOWN DRUG Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1114963576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 2ND ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011405",
            "telephone_number": "319-221-1050",
            "fax_number": "319-221-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 2ND ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011405",
            "telephone_number": "319-221-1050",
            "fax_number": "319-221-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "TUETKEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-221-1050"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0480913",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2030341",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOWNTOWN DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marisa McKinney
• Rose A McKirgan, LCSW
• Blaine Wright McLaughlin, DDS
• Laura Marie McLaughlin, PA-C
• MCLD Corporation
• MCLD Corporation
• Jack McLoone
• Julie McMahan
• Matthew J McMahon, DO
• Rebecca Marie McMurray, LMSW

• Community/Retail Pharmacy in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.