Clearwater Health Resources Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

006585 Issued in MO

Legal business name

CLEARWATER HEALTH RESOURCES INC

Doing business as

Medical Center Pharmacy

Practice address

RR 4 Box 4515
Piedmont, MO 63957-9417

Phone

(573) 223-4235

Fax

(573) 223-4184

NPI assigned

Nov 9, 2005

Last updated

May 19, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

CLEARWATER HEALTH RESOURCES INCAs reported in NPPES

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

Authorized official

Name

Julia Ann Gronski

Title

President

Phone

(573) 223-4235

Specialties & licenses 1

Addresses

Other names 1

• MEDICAL CENTER PHARMACY Doing business as

Part of

Clearwater Health Resources Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Clearwater Health Resources Inc

  dba Medical Center Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Piedmont, MO
  • NPI 1689831505
  NPPES parent name

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1376524959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "PIEDMONT",
            "state": "MO",
            "postal_code": "639570278",
            "telephone_number": "573-223-4235",
            "fax_number": "573-223-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 4 BOX 4515",
            "city": "PIEDMONT",
            "state": "MO",
            "postal_code": "639579417",
            "telephone_number": "573-223-4235",
            "fax_number": "573-223-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER HEALTH RESOURCES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEARWATER HEALTH RESOURCES INC",
        "enumeration_date": "2005-11-09",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "GRONSKI",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-223-4235"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "006585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Marie Burse
• Theron Burse
• Clayton Joe Carson
• Clark's Mountain Management, Corp
• Clearwater Ambulance District
• Clearwater Health Resources Inc (Medical Center Pharmacy)
• Clearwater R-1 School District
• Clearwater Vision Center
• Cloee Click
• Sarah Rose Conner

• Community/Retail Pharmacy in Piedmont, MO
• Providers in Piedmont, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.