NPIMap

Organization Active NPI

Clarinda Regional Health Center

Doing business as Clarinda Regional Health - Community Pharmacy

  • Community/Retail Pharmacy
  • Clarinda, IA
National Provider Identifier
1558258129
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CLARINDA REGIONAL HEALTH CENTER
Doing business as
Clarinda Regional Health - Community Pharmacy
Practice address
210 Essie Davison Drive
Suite 1
Clarinda, IA 51632
Phone
(712) 542-6774
Fax
(712) 542-6724
NPI assigned
Jun 18, 2025
Last updated
Aug 15, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CLARINDA REGIONAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Charles W Nordyke
Title
Ceo
Phone
(712) 542-8214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

210 Essie Davison Drive
Suite 1
Clarinda, IA 51632

Mailing address

PO Box 217
Clarinda, IA 51632-0217
Phone (712) 542-2176

Other names 1

  • Clarinda Regional Health - Community Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260511001054 IA Part B Supplier - Pharmacy 4587573993 Practice locations: Clarinda, IA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Clarinda Regional Health - Communit210 Essie Davison Drive, Suite 1, Clarinda, IA 51632(712) 542-6774 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 9, 1995

National Provider Directory

National Provider Directory
Tax ID family
Ron Pederson11 organizations share this tax ID, including this one
Part of
Ron Pederson

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

210 Essie Davison Dr
Ste 1
Clarinda, IA 51632
Phone (712) 542-6774

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1558258129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516320217",
            "telephone_number": "712-542-2176",
            "fax_number": "712-542-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ESSIE DAVISON DRIVE",
            "address_2": "SUITE 1",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "51632",
            "telephone_number": "712-542-6774",
            "fax_number": "712-542-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARINDA REGIONAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARINDA REGIONAL HEALTH CENTER",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "NORDYKE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-542-8214"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarinda Regional Health - Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarinda, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.