CLEAR STREAM LTC
NPI 1659575983
Pharmacy - Long Term Care Pharmacy in Poplar Bluff, MO

NPI Status: Active since June 12, 2007

Contact Information

2210 BARRON RD STE B-012
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 686-4556
Fax: (573) 686-4529

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  • Organization
  • Pharmacy
  • Long Term Care Pharmacy

About CLEAR STREAM LTC

This page provides the complete NPI Profile along with additional information for Clear Stream Ltc, a provider established in Poplar Bluff, Missouri operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1659575983 assigned on June 2007. The practitioner's primary taxonomy code is 3336L0003X with license number 2007013239 (MO). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Clear Stream Ltc. The authorized official of this NPI record is Mr. Mark Taylor Kleinbeck Rph (President)

NPI
1659575983
Provider Legal Name
CLEAR STREAM LTC, LLC
Other Organization Name
CLEAR STREAM LTC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2210 BARRON RD STE B-012 POPLAR BLUFF, MO 63901
Location Phone
(573) 686-4556
Location Fax
(573) 686-4529
Mailing Address
2210 BARRON RD STE B-012 POPLAR BLUFF, MO 63901
Mailing Phone
(573) 686-4556
Mailing Fax
(573) 686-4529
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-12-2007
Last Update Date
03-07-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Long Term Care Pharmacy

Taxonomy Code
3336L0003X
Type
Suppliers
License No.
2007013239
License State
MO
Taxonomy Description
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MARK TAYLOR KLEINBECK RPH

Authorized Official Title
PRESIDENT
Authorized Official Phone
(573) 686-4556

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2007013239OTHER (01)MOPHARMACY PERMIT
K90FQ0Y00OTHER (01)HIN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1659575983
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2610910710916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 1 + 0 + 7 + 1 + 0 + 9 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1659575983 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548464415CLEAR STREAM LTC, LLC
Organization
Durable Medical Equipment & Medical Supplies2210 BARRON RD STE B-012
POPLAR BLUFF, MO 63901
(573) 686-4556

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659575983, enumerated in the NPI registry as an "organization" on June 12, 2007

The provider is located at 2210 Barron Rd Ste B-012 Poplar Bluff, Mo 63901 and the phone number is (573) 686-4556

This medical organization specializes in Pharmacy with taxonomy code 3336L0003X with a focus in Long Term Care Pharmacy

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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