NPIMap

Organization Active NPI

MCLD Corporation

Doing business as Star Drug

  • Pharmacist
  • Williamsburg, IA
National Provider Identifier
1942298807
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
MCLD CORPORATION
Doing business as
Star Drug
Practice address
517 Court Street
Williamsburg, IA 52361
Phone
(319) 668-1520
Fax
(319) 668-8178
NPI assigned
Oct 13, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Christopher Phillip Tuetken
Title
Pharmacist/Owner
Phone
(319) 465-4906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X NU Primary

Addresses

Primary practice location

517 Court Street
Williamsburg, IA 52361

Mailing address

517 Court Street
Williamsburg, IA 52361
Phone (319) 668-1520

Other names 1

  • Star Drug Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MCLD Corporation5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942298807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 COURT STREET",
            "city": "WILLIAMSBURG",
            "state": "IA",
            "postal_code": "52361",
            "telephone_number": "319-668-1520",
            "fax_number": "319-668-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 COURT STREET",
            "city": "WILLIAMSBURG",
            "state": "IA",
            "postal_code": "52361",
            "telephone_number": "319-668-1520",
            "fax_number": "319-668-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUETKEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "319-465-4906",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsburg, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.