MERCY HOSPITAL SPRINGFIELD (NPI# 1053368761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053368761 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL SPRINGFIELD |
| Other Organization Name | MERCY PHARMACY-LEBANON |
| Practice Address |
200 Hospital Dr Lebanon MO 65536-9215 |
| Practice Telephone | 4175336770 |
| Practice Fax Number | 4175336777 |
| Mailing Telephone | 4175336770 |
| Mailing Fax Number | 4175336777 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2017-11-01 |
| Authorized Official Name | MR. PATRICK BERRY (EXEC DIR-RETAIL PHARMACY SVCS) |
| Authorized Official Telephone | 3146285606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
006619 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2049004 | 01 | |
| MO | 600095004 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Pharmacy-Lebanon | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790252948 | Mercy Hospital Springfield | Clinic/Center | 448 Hwy 248 Ste 130, Branson, MO 65616-3725 | 2018-10-25 |
| 1376884353 | Mercy Hospital Springfield | Durable Medical Equipment & Medical Supplies | 729 Highland Street, Aurora, MO 65605 | 2013-03-15 |
| 1760785265 | Mercy Hospital Springfield | Durable Medical Equipment & Medical Supplies | 721 E Highland Street, Aurora, MO 65605 | 2010-12-06 |
| 1114154127 | Mercy Hospital Springfield | Occupational Therapist | 670 Branson Landing Blvd, Branson, MO 65616-2074 | 2009-06-17 |
| 1477756609 | Mercy Hospital Springfield | Ambulance | 200 Sparky Street, Green Forest, AR 72638-2713 | 2007-06-06 |
| 1144430760 | Mercy Hospital Springfield | Ambulance | 59 Meadow Lark Rd., Branson West, MO 65737 | 2007-05-23 |
| 1558573386 | Mercy Hospital Springfield | Ambulance | 816 E Highway 32, Stockton, MO 65785-8351 | 2007-05-04 |
| 1477765204 | Mercy Hospital Springfield | Ambulance | 675 North Highway 5, Camdenton, MO 65020-3561 | 2007-05-04 |
| 1558573410 | Mercy Hospital Springfield | Ambulance | 1407 E Saint Louis St, Springfield, MO 65802-3125 | 2007-05-04 |
| 1538380654 | Mercy Hospital Springfield | Ambulance | 1012 N Highway 19, Winona, MO 65588 | 2007-05-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY HOSPITAL SPRINGFIELD | 1235 East Cherokee, Springfield, MO 65804-2203 |
| Street Address |
200 HOSPITAL DR |
| City | LEBANON |
| State | MO |
| Zip Code | 65536-9215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710404264 | Mercy Pharmacy Services, LLC | Pharmacy | 200 Hospital Dr, Lebanon, MO 65536-9215 | 2017-08-25 |
| 1306108808 | Wayne Michael Buehler | Pharmacist | 200 Hospital Dr, Lebanon, MO 65536-9215 | 2012-06-11 |
| 1407125149 | Craig P Jay | Pharmacist | 200 Hospital Dr, Lebanon, MO 65536-9215 | 2011-12-27 |
| 1164616678 | St. John's Regional Health Center | Pharmacist | 200 Hospital Dr, Lebanon, MO 65536-9215 | 2007-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537307 | Cathy Jane Greenlee | Nurse Practitioner | 510 Hwy 32, Lebanon, MO 65536 | 2018-08-10 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1447629399 | Danielle Craig | Speech-Language Pathologist | 1200 Clark Ave, Lebanon, MO 65536 | 2015-09-22 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1194163840 | Laura Patton | Speech-Language Pathologist | 22864 Perimeter Drive, Lebanon, MO 65536 | 2013-06-04 |
| 1750588273 | Elaine Britzman | Registered Nurse | 874 S Jefferson St, Lebanon, MO 65536 | 2007-06-28 |
| 1538363486 | Laclede Co. Assoc. for Retarded Citizens | Respite Care | 200 Lawson Ave., Lebanon, MO 65536 | 2007-06-13 |
| 1568665768 | Fern M Klein | Registered Nurse | 874 S Jefferson, Lebanon, MO 65536 | 2007-06-06 |
| 1639201080 | Laclede County Assoc. for Retarded Citizens | Day Training, Developmentally Disabled Services | 200 Lawson Avenue, Lebanon, MO 65536 | 2007-03-12 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
| Find all providers in zip 65536 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588212096 | Kratzer Pharmacy Inc. | Pharmacy | 118 W Main St Ste D, Lebanon, OH 45036-2098 | 2019-08-28 |
| 1235690835 | Stauffers Drug Store Ltd | Pharmacy | 920 Church St Ste 100, Lebanon, PA 17046-4656 | 2019-03-27 |
| 1073929220 | Genoa Healthcare, LLC | Pharmacy | 975b Kingsview Dr, Lebanon, OH 45036-9562 | 2014-07-09 |
| 1598975013 | Mid Valley Healthcare Inc | Pharmacy | 675 N 5th Street, Lebanon, OR 97355-2875 | 2007-05-23 |
| 1386739225 | Prescriptions Plus | Pharmacy | 753 True Value Dr, Lebanon, IL 62254-1593 | 2006-10-04 |
| 1487755781 | Cowan Drugs Inc | Pharmacy | 112 N Lebanon St, Lebanon, IN 46052 | 2006-09-26 |
| 1124126735 | Pennsylvania Cvs Pahrmacy, L.L.C. | Pharmacy | 1760 Quention Rd Cedar Crest Square, Lebanon, PA 17042 | 2006-09-20 |
| 1720185333 | Wilkinson Pharmacy Inc | Pharmacy | 143 W Elm, Lebanon, MO 65536 | 2006-09-19 |
| 1609979319 | Tennessee Cvs Pharmacy, L.L.C. | Pharmacy | 1228 W Main St, Lebanon, TN 37087-3208 | 2006-09-07 |
| 1649373358 | Ohio Cvs Stores LLC | Pharmacy | 605 Columbus Ave, Lebanon, OH 45036-1605 | 2006-09-07 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.