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

Active since June 12, 2007
2210 BARRON RD STE B-012, POPLAR BLUFF, MO 63901(573) 686-4556(573) 686-4529 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Clear Stream Ltc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEAR STREAM LTC (NPI 1659575983) is a healthcare organization registered as a long term care pharmacy in Poplar Bluff, Missouri and active in the NPI registry since June 2007. The organization lists Mark Taylor Kleinbeck, President, as its authorized official.

NPPES Registry Identity

NPI1659575983
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameCLEAR STREAM LTC, LLC
Location Address2210 BARRON RD STE B-012Poplar Bluff, MO 63901-1908
Mailing Address2210 Barron Rd Ste B-012Poplar Bluff, MO 63901-1908 · (573) 686-4556 · Fax (573) 686-4529
Fax(573) 686-4529
Organization SubpartNo
Authorized OfficialMark Taylor KleinbeckPresident · (573) 686-4556
Enumeration DateJune 12, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPI 1659575983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License Licensed in MO · 2007013239
Definition

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.

2210 BARRON RD STE B-012, Poplar Bluff, MO 63901

Other Names 1

Doing Business AsClear Stream Ltc

Other Identifiers 2

Other2007013239MO · Pharmacy Permit
OtherK90FQ0Y00Hin

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
2210 BARRON RD STE B-012
POPLAR BLUFF, MO 63901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clear Stream Ltc, LLC's NPI number?

The NPI number for Clear Stream Ltc, LLC is 1659575983. It was assigned to this organization in the NPPES registry on June 12, 2007. The provider is doing business as Clear Stream Ltc.

Where is Clear Stream Ltc, LLC located?

Clear Stream Ltc, LLC is located at 2210 Barron Rd Ste B-012, Poplar Bluff, MO 63901. The listed phone number is (573) 686-4556.

What is Clear Stream Ltc, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Clear Stream Ltc, LLC was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.