Clinton Medical Clinic Pharmacy Inc

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

75 Issued in IA

Legal business name

CLINTON MEDICAL CLINIC PHARMACY INC

Practice address

221 Main Ave
Clinton, IA 52732-2241

Phone

(563) 242-1724

Fax

(563) 243-8435

NPI assigned

Aug 4, 2006

Last updated

Jun 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gerald W Wheeler, RPH

Title

President

Phone

(563) 242-1724

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1710995758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MAIN AVE",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322241",
            "telephone_number": "563-242-1724",
            "fax_number": "563-243-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MAIN AVE",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322241",
            "telephone_number": "563-242-1724",
            "fax_number": "563-243-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON MEDICAL CLINIC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-242-1724",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "IA",
            "license": "75",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0148676",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clinton County Case Management
• Clinton Dental Associates PC
• Clinton Dental Surgery Center, P.C.
• Clinton Emergency Room Associates
• Clinton Imaging Services, LLC
• Clinton Municipal Transit
• Clinton Opco LLC
• Clinton Physical Therapy
• Clinton Physical Therapy
• Clinton Physical Therapy Services, P.C.

• Clinic Pharmacy in Clinton, IA
• Providers in Clinton, IA by specialty
• Clinic Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.