Organization Active NPI

MCLD Corporation

Doing business as Strawberry Point Drug

  • Community/Retail Pharmacy
  • Strawberry Point, IA
National Provider Identifier
1609041128
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
68 Issued in IA
Legal business name
MCLD CORPORATION
Doing business as
Strawberry Point Drug
Practice address
104 W Mission St
Strawberry Point, IA 52076
Phone
(563) 933-4762
Fax
(563) 933-9909
NPI assigned
Apr 25, 2008
Last updated
Mar 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Christopher Tuetken, PHARM DNPI 1649445552
Title
Pres
Phone
(319) 221-1050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X 68 IA Primary

Addresses

Primary practice location

104 W Mission St
Strawberry Point, IA 52076

Mailing address

207 2ND Ave SE
Ste a
Cedar Rapids, IA 52401-1238
Phone (319) 221-1033

Other identifiers 1

IdentifierTypeStateIssuer
1623455OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • STRAWBERRY POINT DRUG Doing business as

National Provider Directory

National Provider Directory

Locations

207 2nd Ave SE
#A
Cedar Rapids, IA 52401
Phone (319) 221-1050

207 2nd Ave SE
Ste B
Cedar Rapids, IA 52401
Phone (319) 221-1050

419 E 1st St
Monticello, IA 52310
Phone (319) 465-4400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1609041128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 2ND AVE SE",
            "address_2": "STE A",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011238",
            "telephone_number": "319-221-1033",
            "fax_number": "319-221-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W MISSION ST",
            "city": "STRAWBERRY POINT",
            "state": "IA",
            "postal_code": "52076",
            "telephone_number": "563-933-4762",
            "fax_number": "563-933-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "TUETKEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "319-221-1050",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "68",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1623455",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STRAWBERRY POINT DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Strawberry Point, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.